| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,842 |
29,218 |
$1.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,724 |
15,150 |
$950K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,879 |
4,549 |
$64K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,324 |
1,143 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
645 |
614 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,434 |
1,332 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
282 |
$25K |
| 90791 |
Psychiatric diagnostic evaluation |
245 |
226 |
$20K |
| 99384 |
|
164 |
155 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
586 |
212 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
194 |
174 |
$14K |
| 3008F |
|
17,273 |
15,502 |
$13K |
| 90688 |
|
1,663 |
1,603 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
172 |
150 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
59 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
118 |
109 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
57 |
36 |
$3K |
| 96127 |
|
426 |
389 |
$2K |
| 90686 |
|
510 |
460 |
$2K |
| 90674 |
|
198 |
192 |
$2K |
| 99383 |
|
15 |
15 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$609.95 |
| 3074F |
|
4,069 |
3,631 |
$569.33 |
| 3078F |
|
2,978 |
2,666 |
$497.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
43 |
$472.76 |
| 81003 |
|
282 |
259 |
$418.94 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$358.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$231.84 |
| 3079F |
|
540 |
472 |
$200.35 |
| 99441 |
|
19 |
14 |
$198.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$152.88 |
| 90656 |
|
17 |
16 |
$83.67 |
| 3075F |
|
203 |
175 |
$70.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,891 |
1,669 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,282 |
1,146 |
$0.00 |
| 4004F |
|
70 |
56 |
$0.00 |
| 90661 |
|
64 |
64 |
$0.00 |
| 90670 |
|
18 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,653 |
1,465 |
$0.00 |
| 1036F |
|
3,359 |
2,963 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
608 |
543 |
$0.00 |
| 3044F |
|
331 |
293 |
$0.00 |
| 90651 |
|
31 |
30 |
$0.00 |