| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,185 |
35,956 |
$1.17M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15,645 |
8,627 |
$725K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,660 |
9,850 |
$447K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,697 |
1,545 |
$90K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,904 |
6,238 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,545 |
2,625 |
$72K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,015 |
848 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,815 |
2,599 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,294 |
2,669 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
604 |
509 |
$19K |
| 99051 |
|
7,151 |
6,453 |
$13K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,092 |
822 |
$10K |
| 99490 |
Ccm add 20min |
830 |
689 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
393 |
316 |
$8K |
| 99173 |
|
288 |
267 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
43 |
$3K |
| 99215 |
Prolong outpt/office vis |
43 |
37 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
161 |
126 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
183 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,558 |
1,346 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
646 |
494 |
$937.43 |
| 90658 |
|
75 |
71 |
$921.82 |
| 90756 |
|
65 |
54 |
$604.92 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
13 |
$549.26 |
| 90688 |
|
52 |
48 |
$533.64 |
| 96160 |
|
223 |
205 |
$459.78 |
| 81003 |
|
959 |
833 |
$372.25 |
| 99406 |
|
38 |
31 |
$187.22 |
| 87807 |
|
14 |
13 |
$158.84 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
58 |
54 |
$51.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
24 |
$16.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
24 |
$14.40 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
336 |
309 |
$1.33 |
| 3074F |
|
126 |
121 |
$0.43 |
| 3078F |
|
104 |
96 |
$0.35 |
| 3008F |
|
9,164 |
7,952 |
$0.25 |
| 1170F |
|
41 |
36 |
$0.18 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
922 |
609 |
$0.01 |
| 1159F |
|
56 |
49 |
$0.01 |
| 3725F |
|
364 |
311 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
15 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
80 |
49 |
$0.00 |
| 1160F |
|
40 |
35 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
478 |
441 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
81 |
59 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
84 |
52 |
$0.00 |
| 1036F |
|
14 |
12 |
$0.00 |
| 1030F |
|
84 |
75 |
$0.00 |
| 1000F |
|
90 |
77 |
$0.00 |
| 3044F |
|
25 |
13 |
$0.00 |
| 1034F |
|
40 |
33 |
$0.00 |
| 3048F |
|
13 |
12 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 1101F |
|
16 |
14 |
$0.00 |