| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,713 |
39,762 |
$1.84M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,799 |
7,925 |
$383K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,937 |
3,732 |
$352K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,684 |
2,967 |
$285K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,717 |
3,497 |
$275K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27,188 |
21,951 |
$181K |
| 99223 |
Prolong inpt eval add15 m |
1,908 |
1,614 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,936 |
2,616 |
$133K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,889 |
1,603 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
770 |
708 |
$75K |
| 80061 |
Lipid panel |
5,656 |
5,386 |
$74K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,715 |
2,475 |
$68K |
| 99407 |
|
3,802 |
3,333 |
$68K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,511 |
4,176 |
$63K |
| 71045 |
Radiologic examination, chest; single view |
4,940 |
4,340 |
$62K |
| 80053 |
Comprehensive metabolic panel |
5,723 |
5,446 |
$59K |
| 99429 |
|
584 |
576 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,503 |
1,239 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
381 |
363 |
$27K |
| 90686 |
|
1,602 |
1,479 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,451 |
1,380 |
$23K |
| 93000 |
|
1,171 |
1,071 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,977 |
2,654 |
$21K |
| 70210 |
|
941 |
881 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
11,841 |
9,012 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
600 |
540 |
$15K |
| 86769 |
|
424 |
187 |
$14K |
| 99050 |
|
827 |
747 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
95 |
91 |
$12K |
| 74018 |
|
644 |
589 |
$11K |
| 71250 |
|
73 |
68 |
$10K |
| 94010 |
|
448 |
421 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
113 |
$10K |
| 86328 |
|
236 |
218 |
$8K |
| 81000 |
|
1,859 |
1,582 |
$6K |
| 99408 |
|
170 |
159 |
$5K |
| 72110 |
|
150 |
136 |
$5K |
| 99217 |
|
115 |
105 |
$4K |
| 99219 |
|
77 |
70 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
92 |
52 |
$4K |
| 99409 |
|
61 |
56 |
$3K |
| 3008F |
|
10,670 |
9,883 |
$3K |
| 80305 |
|
289 |
249 |
$3K |
| 2014F |
|
8,930 |
8,450 |
$3K |
| 99497 |
|
379 |
307 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
50 |
$3K |
| 99201 |
|
96 |
87 |
$2K |
| 99401 |
|
83 |
82 |
$2K |
| 99051 |
|
735 |
631 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
12 |
$2K |
| 90656 |
|
85 |
84 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$1K |
| 99225 |
|
38 |
27 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
33 |
$1K |
| 3044F |
|
1,451 |
1,265 |
$968.57 |
| 99490 |
Ccm add 20min |
158 |
130 |
$850.72 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$499.19 |
| 99397 |
|
16 |
13 |
$325.16 |
| 82044 |
|
75 |
69 |
$321.75 |
| 82570 |
|
75 |
69 |
$266.64 |
| 73560 |
|
12 |
12 |
$255.86 |
| 81025 |
|
15 |
14 |
$120.30 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
236 |
186 |
$114.90 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
241 |
214 |
$94.31 |
| 97802 |
|
30 |
25 |
$71.58 |
| 85610 |
|
16 |
13 |
$41.95 |
| 3046F |
|
87 |
78 |
$38.13 |
| G0008 |
Administration of influenza virus vaccine |
285 |
220 |
$31.50 |
| 4004F |
|
139 |
126 |
$20.92 |
| 97803 |
|
13 |
13 |
$12.70 |
| 3074F |
|
2,627 |
2,496 |
$7.14 |
| 3078F |
|
2,622 |
2,487 |
$6.91 |
| G8482 |
Influenza immunization administered or previously received |
264 |
217 |
$4.31 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
659 |
574 |
$2.75 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
170 |
153 |
$2.12 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
510 |
456 |
$2.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
168 |
151 |
$1.66 |
| 3079F |
|
397 |
368 |
$1.08 |
| 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) |
150 |
130 |
$1.07 |
| 3077F |
|
194 |
179 |
$0.59 |
| 3288F |
|
305 |
261 |
$0.54 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
159 |
124 |
$0.50 |
| 3075F |
|
241 |
220 |
$0.40 |
| 1170F |
|
255 |
219 |
$0.33 |
| 3080F |
|
74 |
70 |
$0.30 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
14 |
$0.25 |
| 1036F |
|
133 |
104 |
$0.15 |
| 1160F |
|
154 |
140 |
$0.08 |
| 1159F |
|
157 |
143 |
$0.08 |
| 1101F |
|
225 |
193 |
$0.07 |
| 91301 |
|
48 |
48 |
$0.06 |
| 1126F |
|
20 |
15 |
$0.04 |
| 1125F |
|
43 |
37 |
$0.03 |
| 3051F |
|
26 |
24 |
$0.02 |
| 3045F |
|
13 |
13 |
$0.01 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
18 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
63 |
52 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
44 |
38 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
16 |
12 |
$0.00 |
| 1111F |
|
20 |
13 |
$0.00 |
| 3017F |
|
14 |
12 |
$0.00 |
| 90662 |
|
16 |
12 |
$0.00 |