| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,327 |
7,409 |
$361K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,695 |
1,394 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,529 |
1,327 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
948 |
818 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
848 |
701 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,417 |
1,252 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,126 |
3,455 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,347 |
2,090 |
$31K |
| 92551 |
|
2,287 |
1,942 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
163 |
159 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
66 |
55 |
$4K |
| 99173 |
|
2,288 |
1,938 |
$4K |
| 99460 |
|
50 |
50 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
47 |
18 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
134 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
53 |
30 |
$979.48 |
| 90474 |
|
76 |
68 |
$602.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
135 |
109 |
$235.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
76 |
69 |
$81.83 |
| 90688 |
|
17 |
12 |
$35.68 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$4.73 |
| 90670 |
|
830 |
714 |
$0.00 |
| 90685 |
|
282 |
187 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
676 |
325 |
$0.00 |
| 90681 |
|
66 |
53 |
$0.00 |
| 90633 |
|
288 |
273 |
$0.00 |
| 90710 |
|
90 |
81 |
$0.00 |
| 90671 |
|
126 |
87 |
$0.00 |
| 90715 |
|
16 |
15 |
$0.00 |
| 90734 |
|
74 |
64 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
106 |
43 |
$0.00 |
| 90648 |
|
54 |
51 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
13 |
$0.00 |
| 90651 |
|
148 |
138 |
$0.00 |
| 90744 |
|
44 |
36 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
122 |
100 |
$0.00 |
| 90677 |
|
90 |
82 |
$0.00 |
| 90686 |
|
804 |
649 |
$0.00 |
| 90698 |
|
222 |
179 |
$0.00 |
| 90619 |
|
27 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
30 |
27 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
29 |
$0.00 |
| 90697 |
|
41 |
37 |
$0.00 |
| 90656 |
|
39 |
31 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
14 |
12 |
$0.00 |