| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,771 |
32,227 |
$1.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,396 |
16,981 |
$1.18M |
| 87631 |
|
5,299 |
5,036 |
$446K |
| 71046 |
Radiologic examination, chest; 2 views |
11,504 |
10,723 |
$355K |
| 99215 |
Prolong outpt/office vis |
3,731 |
3,428 |
$342K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,664 |
2,482 |
$274K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,423 |
4,220 |
$240K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,757 |
1,659 |
$239K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,200 |
4,891 |
$238K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,591 |
20,735 |
$225K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,148 |
2,963 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,337 |
3,159 |
$171K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,103 |
1,986 |
$108K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
595 |
558 |
$83K |
| 83655 |
|
3,723 |
3,591 |
$61K |
| 99406 |
|
4,552 |
3,960 |
$59K |
| 99188 |
|
3,159 |
3,097 |
$58K |
| 99205 |
Prolong outpt/office vis |
335 |
317 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
418 |
411 |
$36K |
| 80061 |
Lipid panel |
2,776 |
2,595 |
$33K |
| 94664 |
|
2,700 |
2,515 |
$32K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,076 |
3,762 |
$31K |
| 90647 |
|
2,308 |
2,289 |
$28K |
| 90670 |
|
2,449 |
2,430 |
$28K |
| 94060 |
|
544 |
515 |
$27K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,941 |
2,703 |
$25K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,709 |
1,570 |
$25K |
| 71020 |
|
679 |
623 |
$22K |
| 87807 |
|
1,902 |
1,689 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
332 |
306 |
$21K |
| 90723 |
|
1,821 |
1,805 |
$20K |
| 90680 |
|
1,666 |
1,653 |
$19K |
| 99381 |
|
323 |
302 |
$17K |
| 80053 |
Comprehensive metabolic panel |
1,593 |
1,453 |
$16K |
| 90688 |
|
1,344 |
1,310 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
597 |
576 |
$16K |
| 90633 |
|
1,367 |
1,342 |
$15K |
| 99407 |
|
560 |
502 |
$13K |
| 90756 |
|
782 |
721 |
$10K |
| 90707 |
|
781 |
771 |
$8K |
| 90716 |
|
768 |
759 |
$8K |
| 72100 |
|
232 |
223 |
$8K |
| 90651 |
|
552 |
533 |
$6K |
| 74018 |
|
198 |
186 |
$6K |
| 81001 |
|
1,476 |
1,345 |
$5K |
| 80305 |
|
497 |
467 |
$5K |
| 90697 |
|
296 |
289 |
$4K |
| 82565 |
|
842 |
802 |
$4K |
| 84295 |
|
831 |
791 |
$4K |
| 84132 |
|
842 |
798 |
$3K |
| 90734 |
|
276 |
262 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,062 |
1,020 |
$3K |
| 84520 |
|
848 |
808 |
$3K |
| 90677 |
|
223 |
216 |
$3K |
| 81000 |
|
705 |
655 |
$3K |
| 90696 |
|
193 |
185 |
$2K |
| 82947 |
|
705 |
611 |
$2K |
| 90700 |
|
178 |
178 |
$2K |
| 90686 |
|
128 |
117 |
$2K |
| 0012A |
|
94 |
92 |
$1K |
| 90710 |
|
105 |
102 |
$1K |
| 90656 |
|
90 |
89 |
$1K |
| 93000 |
|
57 |
54 |
$1K |
| 74000 |
|
33 |
31 |
$1K |
| 0011A |
|
104 |
99 |
$993.88 |
| 90619 |
|
60 |
59 |
$788.98 |
| 99457 |
|
126 |
124 |
$777.70 |
| 90715 |
|
65 |
62 |
$725.14 |
| 90674 |
|
42 |
39 |
$719.12 |
| 84460 |
|
161 |
150 |
$718.20 |
| 84450 |
|
162 |
151 |
$715.05 |
| 99383 |
|
13 |
12 |
$676.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$376.10 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
145 |
135 |
$332.81 |
| 99496 |
|
13 |
12 |
$302.05 |
| 90685 |
|
31 |
31 |
$296.36 |
| 96127 |
|
79 |
78 |
$293.36 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,679 |
2,362 |
$236.58 |
| 81025 |
|
33 |
25 |
$171.57 |
| 90650 |
|
19 |
18 |
$131.40 |
| 82044 |
|
49 |
47 |
$73.17 |
| 36415 |
Collection of venous blood by venipuncture |
335 |
310 |
$63.06 |
| G0008 |
Administration of influenza virus vaccine |
178 |
176 |
$30.90 |
| 90653 |
|
27 |
27 |
$3.24 |
| 91301 |
|
203 |
197 |
$0.96 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
218 |
209 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,414 |
1,193 |
$0.00 |
| 4004F |
|
299 |
267 |
$0.00 |
| 1159F |
|
817 |
632 |
$0.00 |
| 3078F |
|
516 |
400 |
$0.00 |
| 1160F |
|
715 |
549 |
$0.00 |
| 3085F |
|
46 |
28 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,717 |
1,452 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
25 |
24 |
$0.00 |
| 97803 |
|
127 |
117 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
51 |
50 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
705 |
608 |
$0.00 |
| 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) |
283 |
243 |
$0.00 |
| 3074F |
|
617 |
486 |
$0.00 |
| 1126F |
|
747 |
665 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,054 |
863 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
193 |
176 |
$0.00 |
| 1125F |
|
2,000 |
1,705 |
$0.00 |
| 3008F |
|
989 |
766 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,525 |
1,294 |
$0.00 |
| 1036F |
|
1,010 |
879 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
285 |
245 |
$0.00 |
| 3079F |
|
88 |
75 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
82 |
80 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
55 |
42 |
$0.00 |
| 3075F |
|
26 |
26 |
$0.00 |
| 1034F |
|
54 |
39 |
$0.00 |
| 99458 |
|
28 |
27 |
$0.00 |
| 90694 |
|
25 |
25 |
$0.00 |