| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,311 |
19,366 |
$1.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,527 |
19,632 |
$1.35M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,223 |
1,208 |
$124K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,570 |
1,556 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
283 |
282 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,408 |
1,393 |
$47K |
| 90461 |
|
457 |
453 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,225 |
1,209 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
346 |
344 |
$38K |
| 87428 |
|
477 |
468 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
222 |
$26K |
| 87430 |
|
1,400 |
1,382 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
215 |
214 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
909 |
896 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,241 |
1,076 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
189 |
188 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
491 |
484 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
558 |
543 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,004 |
985 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
117 |
$12K |
| 99490 |
Ccm add 20min |
1,183 |
1,099 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
106 |
103 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
455 |
450 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,290 |
1,213 |
$8K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
896 |
852 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
424 |
310 |
$7K |
| 99051 |
|
174 |
171 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
637 |
619 |
$6K |
| 90674 |
|
240 |
236 |
$5K |
| 93000 |
|
373 |
360 |
$5K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
76 |
73 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
370 |
343 |
$5K |
| 0012A |
|
146 |
146 |
$5K |
| 96127 |
|
579 |
553 |
$4K |
| 90686 |
|
455 |
435 |
$4K |
| 81003 |
|
1,929 |
1,775 |
$4K |
| 0011A |
|
159 |
159 |
$3K |
| 72100 |
|
140 |
136 |
$3K |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$2K |
| 99385 |
|
13 |
13 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
99 |
99 |
$2K |
| 90756 |
|
134 |
134 |
$2K |
| 87807 |
|
116 |
113 |
$2K |
| 99496 |
|
12 |
12 |
$1K |
| 99173 |
|
44 |
44 |
$1K |
| 95117 |
|
63 |
26 |
$786.80 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
27 |
26 |
$750.08 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
179 |
173 |
$636.98 |
| 87400 |
|
47 |
24 |
$558.08 |
| 81025 |
|
64 |
64 |
$509.81 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
73 |
69 |
$363.06 |
| 90715 |
|
18 |
18 |
$269.56 |
| 80305 |
|
24 |
24 |
$245.12 |
| 73030 |
|
15 |
13 |
$206.84 |
| 72040 |
|
12 |
12 |
$186.99 |
| 99406 |
|
13 |
13 |
$129.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
52 |
36 |
$116.03 |
| 85610 |
|
16 |
12 |
$43.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
31 |
$42.42 |
| G0008 |
Administration of influenza virus vaccine |
101 |
89 |
$40.89 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
276 |
258 |
$25.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
160 |
155 |
$0.59 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
598 |
575 |
$0.13 |
| 90649 |
|
24 |
24 |
$0.02 |
| 90688 |
|
25 |
24 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
13 |
$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) |
196 |
189 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
302 |
291 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
69 |
68 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 4040F |
|
37 |
30 |
$0.00 |
| 90710 |
|
38 |
38 |
$0.00 |
| 3288F |
|
41 |
40 |
$0.00 |
| 90633 |
|
28 |
28 |
$0.00 |
| 1111F |
|
477 |
456 |
$0.00 |
| 3008F |
|
790 |
772 |
$0.00 |
| 1101F |
|
150 |
145 |
$0.00 |
| 90677 |
|
158 |
157 |
$0.00 |
| 1036F |
|
390 |
374 |
$0.00 |
| 2000F |
|
258 |
244 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
45 |
43 |
$0.00 |
| 1170F |
|
289 |
282 |
$0.00 |
| 1000F |
|
151 |
150 |
$0.00 |
| 91301 |
|
160 |
160 |
$0.00 |
| 90698 |
|
39 |
39 |
$0.00 |
| 3017F |
|
69 |
64 |
$0.00 |
| 1034F |
|
20 |
19 |
$0.00 |
| 90697 |
|
27 |
27 |
$0.00 |