| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,311 |
13,337 |
$3.45M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,576 |
2,566 |
$595K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,854 |
2,099 |
$592K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,301 |
2,192 |
$570K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,282 |
2,280 |
$519K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,878 |
1,841 |
$433K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,932 |
1,927 |
$411K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,335 |
1,273 |
$278K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,731 |
3,573 |
$180K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,247 |
5,214 |
$60K |
| 97803 |
|
3,247 |
3,157 |
$41K |
| 92552 |
|
3,461 |
3,437 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,300 |
3,102 |
$21K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,888 |
1,827 |
$20K |
| G9153 |
Mapcp demonstration - physician incentive pool |
337 |
334 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,264 |
2,188 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
386 |
382 |
$10K |
| 99441 |
|
780 |
678 |
$10K |
| 90461 |
|
1,783 |
1,771 |
$8K |
| 97802 |
|
439 |
439 |
$7K |
| 87807 |
|
1,862 |
1,796 |
$6K |
| 83655 |
|
813 |
805 |
$3K |
| 96127 |
|
2,863 |
2,599 |
$3K |
| 0001A |
|
71 |
71 |
$3K |
| 0002A |
|
68 |
68 |
$3K |
| 99381 |
|
12 |
12 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,005 |
994 |
$2K |
| 0071A |
|
58 |
58 |
$2K |
| 99499 |
|
28 |
25 |
$2K |
| 0072A |
|
51 |
51 |
$2K |
| 90677 |
|
163 |
162 |
$2K |
| 90651 |
|
288 |
287 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,770 |
1,640 |
$1K |
| 99442 |
|
70 |
62 |
$1K |
| 90670 |
|
1,439 |
1,429 |
$1K |
| 85018 |
|
1,154 |
1,137 |
$968.77 |
| 92551 |
|
493 |
491 |
$789.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
213 |
190 |
$761.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
112 |
107 |
$753.87 |
| 94760 |
|
2,939 |
2,590 |
$309.34 |
| 81003 |
|
358 |
322 |
$174.57 |
| 90686 |
|
805 |
802 |
$159.77 |
| 90633 |
|
550 |
546 |
$127.12 |
| 1126F |
|
949 |
868 |
$125.42 |
| 90647 |
|
590 |
585 |
$102.76 |
| 90658 |
|
35 |
35 |
$56.20 |
| 90661 |
|
12 |
12 |
$31.81 |
| 99173 |
|
2,392 |
2,371 |
$21.70 |
| 99177 |
|
27 |
27 |
$2.53 |
| 1159F |
|
1,504 |
1,320 |
$0.14 |
| 1160F |
|
1,375 |
1,213 |
$0.13 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,363 |
1,182 |
$0.11 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,352 |
1,173 |
$0.11 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
556 |
496 |
$0.08 |
| G8509 |
Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given |
24 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
22 |
17 |
$0.00 |
| 90734 |
|
48 |
47 |
$0.00 |
| 90681 |
|
93 |
93 |
$0.00 |
| 90707 |
|
168 |
167 |
$0.00 |
| 90715 |
|
169 |
168 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
225 |
204 |
$0.00 |
| A4617 |
Mouth piece |
131 |
101 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |
| 99000 |
|
1,563 |
1,420 |
$0.00 |
| 90716 |
|
181 |
179 |
$0.00 |
| 36416 |
|
433 |
429 |
$0.00 |
| 90723 |
|
1,154 |
1,151 |
$0.00 |
| 1125F |
|
105 |
99 |
$0.00 |
| 3008F |
|
362 |
330 |
$0.00 |
| 90657 |
|
48 |
48 |
$0.00 |
| 90743 |
|
60 |
59 |
$0.00 |
| 90619 |
|
28 |
28 |
$0.00 |
| 90696 |
|
38 |
38 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 3074F |
|
17 |
17 |
$0.00 |