| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,082 |
14,560 |
$836K |
| 99233 |
Prolong inpt eval add15 m |
5,088 |
1,303 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,442 |
2,790 |
$204K |
| 99223 |
Prolong inpt eval add15 m |
1,745 |
1,488 |
$180K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,602 |
1,448 |
$102K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,432 |
1,241 |
$72K |
| Q3014 |
Telehealth originating site facility fee |
2,741 |
2,300 |
$49K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
410 |
399 |
$46K |
| 93000 |
|
2,214 |
1,843 |
$19K |
| 99385 |
|
183 |
175 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
129 |
$14K |
| 99386 |
|
79 |
76 |
$10K |
| 99457 |
|
583 |
504 |
$7K |
| 95923 |
|
193 |
134 |
$7K |
| 99243 |
|
98 |
98 |
$6K |
| 99497 |
|
680 |
636 |
$6K |
| 93922 |
|
209 |
150 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
206 |
177 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
169 |
154 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
68 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
145 |
113 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
144 |
69 |
$1K |
| 99458 |
|
124 |
110 |
$1K |
| 96160 |
|
376 |
311 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
59 |
$833.40 |
| 99454 |
|
74 |
67 |
$698.52 |
| 3074F |
|
564 |
510 |
$650.00 |
| 0011A |
|
36 |
27 |
$524.40 |
| 81002 |
|
542 |
489 |
$430.17 |
| 36415 |
Collection of venous blood by venipuncture |
182 |
168 |
$393.23 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
16 |
$388.63 |
| 99442 |
|
67 |
61 |
$388.39 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
58 |
$297.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$286.26 |
| 3077F |
|
853 |
757 |
$225.03 |
| 0013A |
|
12 |
12 |
$202.20 |
| 0012A |
|
12 |
12 |
$160.88 |
| 82948 |
|
308 |
283 |
$154.22 |
| 99453 |
|
36 |
35 |
$138.97 |
| 96136 |
|
12 |
12 |
$137.09 |
| 96127 |
|
38 |
38 |
$134.71 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$118.44 |
| 3075F |
|
195 |
186 |
$115.00 |
| 3046F |
|
15 |
14 |
$80.00 |
| 3044F |
|
14 |
14 |
$80.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$58.79 |
| 81003 |
|
76 |
68 |
$18.36 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,928 |
1,876 |
$10.59 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$9.07 |
| 91301 |
|
110 |
88 |
$0.09 |
| 1160F |
|
1,753 |
1,717 |
$0.00 |
| 3078F |
|
707 |
637 |
$0.00 |
| 1003F |
|
2,195 |
2,146 |
$0.00 |
| 1090F |
|
1,956 |
1,902 |
$0.00 |
| 1158F |
|
1,617 |
1,581 |
$0.00 |
| 1159F |
|
1,954 |
1,913 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
445 |
408 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
441 |
399 |
$0.00 |
| 99401 |
|
176 |
151 |
$0.00 |
| 1033F |
|
37 |
37 |
$0.00 |
| 1100F |
|
77 |
72 |
$0.00 |
| 90658 |
|
15 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 1101F |
|
1,703 |
1,667 |
$0.00 |
| 1170F |
|
2,031 |
1,971 |
$0.00 |
| 3080F |
|
502 |
450 |
$0.00 |
| 1126F |
|
1,231 |
1,200 |
$0.00 |
| 1125F |
|
545 |
532 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
437 |
395 |
$0.00 |
| 3079F |
|
439 |
398 |
$0.00 |
| 1123F |
|
414 |
380 |
$0.00 |
| 99000 |
|
181 |
168 |
$0.00 |
| 91306 |
|
18 |
12 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 97802 |
|
28 |
28 |
$0.00 |