| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,911 |
37,924 |
$1.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,342 |
25,828 |
$1.32M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,233 |
5,146 |
$412K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,935 |
4,526 |
$386K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,368 |
4,279 |
$343K |
| 97802 |
|
13,806 |
12,991 |
$262K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,187 |
3,148 |
$252K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,794 |
4,594 |
$163K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,311 |
9,094 |
$111K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,005 |
10,183 |
$110K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,030 |
1,009 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
871 |
859 |
$77K |
| 99381 |
|
636 |
592 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,727 |
4,444 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
614 |
596 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
535 |
512 |
$38K |
| 99215 |
Prolong outpt/office vis |
571 |
561 |
$38K |
| 90670 |
|
2,134 |
2,064 |
$37K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,028 |
2,855 |
$37K |
| 99188 |
|
868 |
852 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,613 |
1,481 |
$15K |
| 90697 |
|
515 |
487 |
$14K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,730 |
2,650 |
$13K |
| 90686 |
|
1,320 |
1,288 |
$13K |
| 90651 |
|
1,222 |
1,204 |
$12K |
| 87807 |
|
1,720 |
1,618 |
$11K |
| 36416 |
|
1,699 |
1,528 |
$11K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
8,408 |
6,135 |
$10K |
| 90671 |
|
230 |
223 |
$10K |
| 83655 |
|
1,429 |
1,391 |
$6K |
| 99383 |
|
75 |
75 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
385 |
344 |
$6K |
| 96127 |
|
2,136 |
1,992 |
$6K |
| 81003 |
|
688 |
644 |
$5K |
| 3074F |
|
2,187 |
2,079 |
$5K |
| 90633 |
|
1,384 |
1,350 |
$5K |
| 90710 |
|
1,174 |
1,150 |
$5K |
| 3077F |
|
275 |
256 |
$3K |
| 90698 |
|
1,905 |
1,857 |
$3K |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
167 |
153 |
$3K |
| 90619 |
|
122 |
117 |
$2K |
| 92551 |
|
338 |
326 |
$2K |
| 90715 |
|
373 |
368 |
$2K |
| 90696 |
|
318 |
316 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
187 |
159 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
589 |
563 |
$2K |
| 3075F |
|
273 |
265 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
959 |
869 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99406 |
|
536 |
489 |
$1K |
| 85018 |
|
1,539 |
1,491 |
$1K |
| 3008F |
|
1,980 |
1,817 |
$1K |
| 90621 |
|
257 |
251 |
$1K |
| 99382 |
|
14 |
14 |
$1K |
| 98960 |
|
95 |
83 |
$1K |
| 90744 |
|
851 |
832 |
$954.40 |
| 90734 |
|
591 |
581 |
$662.86 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,816 |
1,496 |
$631.29 |
| 99173 |
|
373 |
356 |
$623.38 |
| G8708 |
Patient not prescribed antibiotic |
3,121 |
2,624 |
$601.80 |
| 90680 |
|
1,513 |
1,460 |
$537.29 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
58 |
37 |
$483.26 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,172 |
1,055 |
$365.61 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,305 |
2,202 |
$317.88 |
| S9451 |
Exercise classes, non-physician provider, per session |
9,349 |
8,789 |
$298.88 |
| 93000 |
|
47 |
46 |
$254.45 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,799 |
1,488 |
$97.14 |
| 91301 |
|
16 |
16 |
$50.00 |
| 3079F |
|
783 |
700 |
$48.59 |
| 90723 |
|
13 |
13 |
$36.45 |
| 90656 |
|
13 |
13 |
$35.22 |
| 81002 |
|
28 |
25 |
$33.54 |
| 94760 |
|
29 |
24 |
$29.15 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
141 |
115 |
$1.28 |
| 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) |
2,245 |
2,064 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,572 |
1,283 |
$0.00 |
| 3078F |
|
2,010 |
1,789 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
641 |
556 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
767 |
698 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
106 |
99 |
$0.00 |
| 3288F |
|
179 |
175 |
$0.00 |
| G9810 |
Patient achieved a pdc of at least 75% for their asthma controller medication |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,523 |
1,245 |
$0.00 |
| 3044F |
|
360 |
346 |
$0.00 |
| 3080F |
|
205 |
191 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
67 |
59 |
$0.00 |
| 1111F |
|
193 |
187 |
$0.00 |
| 3017F |
|
33 |
29 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
69 |
61 |
$0.00 |
| 3014F |
|
30 |
27 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
81 |
78 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$0.00 |