| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,066 |
27,262 |
$1.71M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,662 |
32,884 |
$1.47M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,651 |
5,471 |
$194K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,874 |
1,833 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,729 |
1,656 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,122 |
1,097 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
471 |
441 |
$28K |
| 99051 |
|
1,401 |
1,339 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,208 |
1,120 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
803 |
746 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
997 |
897 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
135 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
170 |
163 |
$9K |
| 90686 |
|
3,718 |
3,400 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,025 |
941 |
$8K |
| 96127 |
|
1,431 |
1,328 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
264 |
127 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,413 |
1,311 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
392 |
366 |
$2K |
| 81002 |
|
964 |
885 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
567 |
519 |
$2K |
| 80305 |
|
195 |
183 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 90651 |
|
98 |
98 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
96 |
74 |
$1K |
| D1206 |
Topical application of fluoride varnish |
64 |
63 |
$1K |
| 92551 |
|
159 |
155 |
$1K |
| 99385 |
|
12 |
12 |
$997.74 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
13 |
$545.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
27 |
$460.96 |
| 99188 |
|
12 |
12 |
$191.25 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
12 |
$184.76 |
| 99441 |
|
12 |
12 |
$145.85 |
| 90621 |
|
52 |
48 |
$139.20 |
| 90656 |
|
245 |
241 |
$120.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
12 |
$119.19 |
| 90670 |
|
238 |
230 |
$100.00 |
| 90648 |
|
104 |
89 |
$30.00 |
| 90716 |
|
42 |
40 |
$20.00 |
| 90698 |
|
50 |
49 |
$20.00 |
| 90700 |
|
67 |
65 |
$20.00 |
| 90680 |
|
26 |
25 |
$10.00 |
| 90734 |
|
53 |
53 |
$10.00 |
| 90707 |
|
16 |
13 |
$10.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
49 |
37 |
$2.98 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
479 |
430 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
395 |
332 |
$0.00 |
| 1036F |
|
792 |
695 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
271 |
219 |
$0.00 |
| 3017F |
|
316 |
272 |
$0.00 |
| 90619 |
|
28 |
27 |
$0.00 |
| 90634 |
|
26 |
26 |
$0.00 |
| 4040F |
|
181 |
154 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
132 |
122 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,619 |
1,425 |
$0.00 |
| 90461 |
|
275 |
273 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
170 |
148 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
125 |
100 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
14 |
12 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |