| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,920 |
6,025 |
$363K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,575 |
1,318 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
553 |
525 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
489 |
473 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
459 |
410 |
$40K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,295 |
1,109 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,158 |
1,938 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
302 |
272 |
$24K |
| 99310 |
Prolong nursin fac eval 15m |
1,251 |
451 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
811 |
759 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,793 |
816 |
$13K |
| 1126F |
|
2,677 |
873 |
$8K |
| 99215 |
Prolong outpt/office vis |
41 |
36 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
176 |
163 |
$2K |
| 3008F |
|
1,365 |
1,150 |
$2K |
| 90461 |
|
144 |
138 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
591 |
416 |
$2K |
| 92552 |
|
229 |
212 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
207 |
181 |
$1K |
| 99384 |
|
17 |
13 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
137 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,262 |
2,196 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
351 |
160 |
$563.47 |
| 99173 |
|
443 |
367 |
$266.30 |
| 93000 |
|
22 |
22 |
$146.31 |
| 2010F |
|
1,762 |
1,468 |
$82.85 |
| 1159F |
|
840 |
548 |
$48.27 |
| 1160F |
|
841 |
542 |
$36.88 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
147 |
42 |
$33.97 |
| 99491 |
Ccm add 20min |
170 |
114 |
$16.39 |
| 1170F |
|
2,755 |
757 |
$0.00 |
| 3074F |
|
115 |
104 |
$0.00 |
| 1101F |
|
5,051 |
1,065 |
$0.00 |
| 92551 |
|
137 |
98 |
$0.00 |
| 90698 |
|
14 |
13 |
$0.00 |
| 90651 |
|
49 |
42 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
60 |
22 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
55 |
44 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
16 |
13 |
$0.00 |
| 1125F |
|
16 |
13 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
21 |
13 |
$0.00 |
| 90697 |
|
25 |
17 |
$0.00 |
| 1124F |
|
2,705 |
722 |
$0.00 |
| 1090F |
|
55 |
43 |
$0.00 |
| 3288F |
|
54 |
42 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 90670 |
|
77 |
65 |
$0.00 |
| 3078F |
|
120 |
108 |
$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) |
68 |
58 |
$0.00 |
| 99499 |
|
15 |
15 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90734 |
|
15 |
14 |
$0.00 |