| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,876 |
7,141 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,342 |
1,295 |
$40K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,440 |
2,237 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
667 |
343 |
$20K |
| 92134 |
|
800 |
771 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
362 |
346 |
$18K |
| V2020 |
Frames, purchases |
587 |
458 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
370 |
356 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
168 |
165 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
926 |
836 |
$12K |
| 92133 |
|
212 |
208 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
199 |
92 |
$5K |
| 98928 |
|
124 |
91 |
$4K |
| 11721 |
|
577 |
565 |
$4K |
| 99307 |
|
497 |
197 |
$3K |
| 90688 |
|
211 |
208 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
95 |
$2K |
| 92551 |
|
283 |
279 |
$2K |
| 92015 |
Determination of refractive state |
431 |
418 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
323 |
55 |
$1K |
| 98927 |
|
37 |
26 |
$961.88 |
| 90686 |
|
134 |
127 |
$952.05 |
| 98929 |
|
67 |
49 |
$822.86 |
| 99306 |
Prolong nursin fac eval 15m |
16 |
14 |
$812.16 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
198 |
154 |
$770.00 |
| 99252 |
|
15 |
13 |
$768.10 |
| 99173 |
|
213 |
208 |
$619.41 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
465 |
450 |
$593.59 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$461.76 |
| 36415 |
Collection of venous blood by venipuncture |
397 |
382 |
$459.93 |
| 3074F |
|
1,667 |
1,521 |
$450.00 |
| 3078F |
|
776 |
715 |
$310.00 |
| 99051 |
|
12 |
12 |
$232.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
52 |
$210.00 |
| 3079F |
|
155 |
151 |
$80.00 |
| 96127 |
|
28 |
28 |
$78.51 |
| 99497 |
|
108 |
107 |
$77.45 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
230 |
218 |
$0.00 |
| 1036F |
|
321 |
274 |
$0.00 |
| 1111F |
|
574 |
478 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
141 |
130 |
$0.00 |
| 1170F |
|
174 |
150 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 1160F |
|
3,065 |
2,766 |
$0.00 |
| 1159F |
|
2,987 |
2,699 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,308 |
1,228 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
188 |
165 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
423 |
351 |
$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) |
144 |
141 |
$0.00 |
| 99326 |
|
14 |
14 |
$0.00 |
| 90715 |
|
18 |
18 |
$0.00 |
| 99334 |
|
13 |
13 |
$0.00 |
| 90734 |
|
21 |
20 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
15 |
15 |
$0.00 |