| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,652 |
25,787 |
$2.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,245 |
13,108 |
$1.63M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,036 |
2,032 |
$206K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,877 |
1,875 |
$184K |
| 99487 |
Ccm add 20min |
873 |
873 |
$97K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,673 |
2,085 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
325 |
325 |
$32K |
| 99490 |
Ccm add 20min |
520 |
520 |
$28K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
86 |
86 |
$27K |
| 99385 |
|
229 |
229 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
254 |
254 |
$23K |
| 99401 |
|
1,764 |
1,560 |
$23K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
198 |
196 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
187 |
187 |
$19K |
| 99402 |
|
861 |
829 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
349 |
345 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
79 |
79 |
$11K |
| 98926 |
|
278 |
257 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,015 |
852 |
$10K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
65 |
65 |
$9K |
| 99386 |
|
40 |
40 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
246 |
233 |
$5K |
| 76830 |
Ultrasound, transvaginal |
53 |
52 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
51 |
50 |
$3K |
| 82947 |
|
627 |
522 |
$3K |
| 69210 |
|
57 |
56 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
12 |
12 |
$1K |
| 99406 |
|
260 |
242 |
$1K |
| 81000 |
|
374 |
344 |
$1K |
| 87631 |
|
30 |
29 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
221 |
$1K |
| 81005 |
|
580 |
571 |
$984.42 |
| 81002 |
|
432 |
428 |
$771.01 |
| 99407 |
|
188 |
180 |
$608.11 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
13 |
$597.74 |
| 87210 |
|
162 |
145 |
$480.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
25 |
$471.51 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
303 |
210 |
$448.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$415.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
47 |
46 |
$386.31 |
| 81025 |
|
189 |
167 |
$331.40 |
| 99050 |
|
50 |
50 |
$231.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
628 |
624 |
$195.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$70.00 |
| 36415 |
Collection of venous blood by venipuncture |
4,383 |
4,273 |
$62.76 |
| 82948 |
|
16 |
14 |
$29.12 |
| H0001 |
Alcohol and/or drug assessment |
585 |
584 |
$0.02 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
585 |
495 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,454 |
1,224 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
16 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
403 |
379 |
$0.00 |
| 99000 |
|
1,551 |
1,485 |
$0.00 |
| 99058 |
|
587 |
544 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
314 |
313 |
$0.00 |
| 90686 |
|
48 |
48 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
14 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
216 |
215 |
$0.00 |
| 97802 |
|
13 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
18 |
18 |
$0.00 |
| 87632 |
|
25 |
25 |
$0.00 |
| 99606 |
|
72 |
72 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
63 |
50 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,046 |
3,299 |
$0.00 |
| 99408 |
|
77 |
77 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
259 |
258 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
626 |
554 |
$0.00 |
| 97803 |
|
22 |
22 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
19 |
19 |
$0.00 |