| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,010 |
32,582 |
$2.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,606 |
7,540 |
$588K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,221 |
2,218 |
$240K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,098 |
2,096 |
$225K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,018 |
2,015 |
$217K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,212 |
5,159 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
982 |
982 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
896 |
891 |
$92K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,047 |
2,007 |
$82K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,577 |
3,506 |
$64K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
876 |
874 |
$45K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,268 |
3,265 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,768 |
1,748 |
$42K |
| 90674 |
|
1,892 |
1,886 |
$40K |
| 90756 |
|
1,584 |
1,581 |
$37K |
| 99173 |
|
1,254 |
1,253 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,927 |
1,569 |
$35K |
| 97803 |
|
991 |
991 |
$32K |
| 90461 |
|
612 |
608 |
$25K |
| 99441 |
|
421 |
373 |
$22K |
| 85018 |
|
4,331 |
4,313 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
102 |
101 |
$11K |
| 0012A |
|
245 |
244 |
$10K |
| 99080 |
|
1,224 |
1,211 |
$9K |
| 0011A |
|
264 |
264 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,090 |
1,085 |
$9K |
| 90661 |
|
315 |
315 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,658 |
3,655 |
$7K |
| 81000 |
|
1,263 |
1,184 |
$5K |
| 0013A |
|
122 |
122 |
$5K |
| 82947 |
|
1,128 |
1,100 |
$4K |
| 97802 |
|
194 |
194 |
$3K |
| 99496 |
|
28 |
28 |
$3K |
| 99406 |
|
199 |
199 |
$3K |
| 0001A |
|
57 |
57 |
$2K |
| 99072 |
|
46 |
40 |
$2K |
| 0003A |
|
56 |
56 |
$2K |
| 99483 |
Prolong outpt/office vis |
96 |
96 |
$2K |
| 0071A |
|
43 |
43 |
$2K |
| 82044 |
|
310 |
309 |
$2K |
| 0002A |
|
36 |
36 |
$1K |
| 91320 |
|
36 |
36 |
$1K |
| 0031A |
|
48 |
48 |
$1K |
| 81025 |
|
161 |
157 |
$1K |
| 0072A |
|
31 |
31 |
$1K |
| 90620 |
|
688 |
688 |
$1K |
| 99177 |
|
24 |
24 |
$927.58 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
109 |
109 |
$806.69 |
| 90658 |
|
159 |
158 |
$594.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$552.76 |
| 0124A |
|
14 |
14 |
$546.50 |
| 0134A |
|
12 |
12 |
$501.20 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
304 |
301 |
$435.40 |
| 90480 |
|
36 |
36 |
$407.60 |
| 90688 |
|
556 |
556 |
$250.22 |
| 90649 |
|
608 |
608 |
$138.79 |
| 90686 |
|
890 |
889 |
$128.65 |
| 90733 |
|
461 |
461 |
$110.01 |
| G0008 |
Administration of influenza virus vaccine |
403 |
402 |
$79.39 |
| 90715 |
|
85 |
85 |
$68.59 |
| 91301 |
|
82 |
82 |
$0.31 |
| 91303 |
|
35 |
35 |
$0.01 |
| 1036F |
|
2,861 |
2,853 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
158 |
158 |
$0.00 |
| 1125F |
|
491 |
489 |
$0.00 |
| 1126F |
|
559 |
556 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
527 |
526 |
$0.00 |
| 3074F |
|
1,304 |
1,279 |
$0.00 |
| 3017F |
|
568 |
566 |
$0.00 |
| 3075F |
|
291 |
291 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
64 |
64 |
$0.00 |
| 3014F |
|
133 |
132 |
$0.00 |
| 99000 |
|
69 |
63 |
$0.00 |
| 1101F |
|
26 |
26 |
$0.00 |
| 3044F |
|
122 |
116 |
$0.00 |
| 3079F |
|
126 |
125 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
253 |
252 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 1170F |
|
43 |
43 |
$0.00 |
| 3048F |
|
30 |
30 |
$0.00 |
| 90657 |
|
13 |
13 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,168 |
1,164 |
$0.00 |
| 4004F |
|
285 |
284 |
$0.00 |
| 3078F |
|
1,582 |
1,540 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
432 |
432 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
645 |
645 |
$0.00 |
| 1159F |
|
30 |
28 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
629 |
628 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 1160F |
|
28 |
27 |
$0.00 |
| 4040F |
|
290 |
290 |
$0.00 |
| 3288F |
|
51 |
51 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
27 |
26 |
$0.00 |
| 1090F |
|
58 |
53 |
$0.00 |
| 2022F |
|
25 |
25 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
18 |
18 |
$0.00 |