| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53,435 |
39,976 |
$2.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,540 |
14,756 |
$524K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,253 |
3,664 |
$341K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,660 |
4,535 |
$304K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,098 |
3,472 |
$260K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,085 |
883 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
439 |
366 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
427 |
389 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
14,466 |
11,565 |
$21K |
| 99215 |
Prolong outpt/office vis |
408 |
351 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,172 |
964 |
$12K |
| 99383 |
|
119 |
111 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,445 |
755 |
$9K |
| 99385 |
|
107 |
95 |
$7K |
| 99443 |
|
303 |
261 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
315 |
222 |
$6K |
| 99384 |
|
75 |
63 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
48 |
$5K |
| 81025 |
|
2,782 |
2,220 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
464 |
305 |
$4K |
| 99442 |
|
207 |
180 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
7,164 |
5,556 |
$2K |
| 81002 |
|
2,669 |
1,978 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
5,278 |
4,026 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
699 |
575 |
$1K |
| 80305 |
|
441 |
383 |
$769.63 |
| 3074F |
|
14,524 |
11,302 |
$752.51 |
| 93000 |
|
283 |
179 |
$531.12 |
| 0011A |
|
18 |
17 |
$480.00 |
| 99406 |
|
337 |
312 |
$297.92 |
| 3075F |
|
3,953 |
3,166 |
$292.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
340 |
294 |
$202.56 |
| 81000 |
|
452 |
410 |
$184.68 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
62 |
58 |
$150.00 |
| 99000 |
|
1,373 |
989 |
$120.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
84 |
$94.01 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,709 |
1,504 |
$93.51 |
| 90461 |
|
61 |
49 |
$60.00 |
| 0012A |
|
12 |
12 |
$60.00 |
| 90651 |
|
156 |
125 |
$40.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12,276 |
9,022 |
$28.34 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
809 |
706 |
$24.18 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
22 |
21 |
$17.19 |
| 1160F |
|
11,075 |
8,841 |
$14.26 |
| 3008F |
|
19,085 |
14,704 |
$14.24 |
| 3288F |
|
2,666 |
2,071 |
$14.17 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,630 |
2,049 |
$14.17 |
| 2028F |
|
3,091 |
2,284 |
$14.17 |
| 1036F |
|
9,993 |
7,385 |
$14.17 |
| 1170F |
|
4,241 |
3,288 |
$14.17 |
| 3061F |
|
1,158 |
923 |
$14.17 |
| 4040F |
|
1,830 |
1,454 |
$4.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
162 |
139 |
$2.21 |
| 99409 |
|
2,527 |
1,997 |
$1.00 |
| 99403 |
|
1,637 |
1,233 |
$0.40 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
17 |
14 |
$0.07 |
| 3725F |
|
11,102 |
8,144 |
$0.02 |
| 3078F |
|
14,221 |
10,801 |
$0.01 |
| 1159F |
|
10,971 |
8,669 |
$0.01 |
| 1158F |
|
1,612 |
1,242 |
$0.01 |
| 1126F |
|
3,779 |
2,981 |
$0.01 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
3,545 |
3,001 |
$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) |
6,480 |
5,217 |
$0.00 |
| 4004F |
|
726 |
642 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
306 |
264 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
53 |
41 |
$0.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
500 |
456 |
$0.00 |
| 4013F |
|
4,348 |
3,167 |
$0.00 |
| 3015F |
|
1,405 |
1,032 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
553 |
491 |
$0.00 |
| 1100F |
|
41 |
34 |
$0.00 |
| G8864 |
Pneumococcal vaccine administered or previously received |
896 |
763 |
$0.00 |
| 3050F |
|
228 |
150 |
$0.00 |
| 90715 |
|
85 |
68 |
$0.00 |
| 90649 |
|
16 |
13 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
92 |
74 |
$0.00 |
| 1033F |
|
29 |
25 |
$0.00 |
| 3046F |
|
100 |
66 |
$0.00 |
| 0521F |
|
30 |
30 |
$0.00 |
| 3045F |
|
14 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
23 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
7,434 |
5,470 |
$0.00 |
| 3014F |
|
650 |
466 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
1,578 |
1,161 |
$0.00 |
| 4010F |
|
4,561 |
3,318 |
$0.00 |
| 3044F |
|
2,745 |
2,335 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
287 |
275 |
$0.00 |
| 3011F |
|
6,265 |
4,950 |
$0.00 |
| 4000F |
|
163 |
142 |
$0.00 |
| 2010F |
|
578 |
479 |
$0.00 |
| 1157F |
|
1,104 |
919 |
$0.00 |
| 3079F |
|
4,873 |
3,653 |
$0.00 |
| 90686 |
|
123 |
111 |
$0.00 |
| 1125F |
|
3,524 |
2,953 |
$0.00 |
| 3048F |
|
1,567 |
1,166 |
$0.00 |
| 1034F |
|
2,088 |
1,678 |
$0.00 |
| 3017F |
|
546 |
449 |
$0.00 |
| 3049F |
|
2,162 |
1,705 |
$0.00 |
| 1111F |
|
3,065 |
2,413 |
$0.00 |
| 88150 |
|
132 |
127 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
304 |
253 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
235 |
154 |
$0.00 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
243 |
237 |
$0.00 |
| 0001F |
|
120 |
106 |
$0.00 |
| 1123F |
|
62 |
59 |
$0.00 |
| G8866 |
Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal) |
114 |
92 |
$0.00 |