| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205,954 |
133,125 |
$2.23M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43,225 |
27,384 |
$463K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,427 |
2,287 |
$70K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,828 |
1,922 |
$67K |
| 99442 |
|
9,941 |
8,343 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,162 |
2,218 |
$64K |
| 99348 |
|
5,064 |
1,854 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,744 |
6,701 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,360 |
1,204 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,207 |
6,988 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,966 |
1,217 |
$38K |
| 99441 |
|
8,890 |
6,694 |
$37K |
| 99397 |
|
1,523 |
1,099 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,231 |
839 |
$24K |
| 3074F |
|
118,458 |
73,274 |
$23K |
| 99385 |
|
737 |
382 |
$13K |
| 0031A |
|
1,699 |
1,504 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,121 |
916 |
$11K |
| 3725F |
|
5,930 |
5,226 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
14,660 |
11,881 |
$9K |
| 0003A |
|
1,080 |
1,014 |
$8K |
| 3075F |
|
48,874 |
32,662 |
$8K |
| 0001A |
|
979 |
894 |
$5K |
| 99499 |
|
1,695 |
1,216 |
$5K |
| 0002A |
|
843 |
771 |
$5K |
| 3008F |
|
61,550 |
37,922 |
$4K |
| 1158F |
|
3,828 |
3,342 |
$4K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,441 |
674 |
$4K |
| 90461 |
|
3,723 |
1,902 |
$4K |
| 76830 |
Ultrasound, transvaginal |
224 |
161 |
$4K |
| 88164 |
|
1,440 |
703 |
$3K |
| 99349 |
|
114 |
107 |
$2K |
| 90651 |
|
550 |
371 |
$2K |
| 90670 |
|
308 |
188 |
$2K |
| 99443 |
|
264 |
199 |
$2K |
| 87490 |
|
957 |
441 |
$2K |
| 0012A |
|
167 |
142 |
$2K |
| 86580 |
|
684 |
528 |
$1K |
| 0011A |
|
143 |
130 |
$1K |
| 87590 |
|
976 |
428 |
$1K |
| 99386 |
|
27 |
25 |
$1K |
| 4013F |
|
38,424 |
25,657 |
$1K |
| 4010F |
|
37,537 |
25,282 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
167 |
69 |
$988.82 |
| 0034A |
|
122 |
118 |
$778.58 |
| 90686 |
|
428 |
335 |
$766.30 |
| 92015 |
Determination of refractive state |
498 |
303 |
$580.55 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
174 |
114 |
$521.64 |
| 0013A |
|
80 |
75 |
$464.34 |
| 90619 |
|
122 |
81 |
$398.10 |
| 3078F |
|
114,556 |
70,075 |
$330.80 |
| 98967 |
|
261 |
215 |
$307.03 |
| 1170F |
|
3,925 |
3,468 |
$304.53 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
78 |
25 |
$267.78 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
159 |
123 |
$257.12 |
| 90633 |
|
178 |
128 |
$202.93 |
| 90672 |
|
51 |
51 |
$170.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
65 |
$168.64 |
| 4008F |
|
8,917 |
5,985 |
$156.22 |
| 81000 |
|
55 |
49 |
$149.55 |
| 87070 |
|
315 |
92 |
$123.63 |
| 90734 |
|
59 |
55 |
$114.56 |
| 3079F |
|
55,477 |
36,074 |
$108.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
50 |
$99.38 |
| 1125F |
|
1,652 |
1,545 |
$97.67 |
| 71046 |
Radiologic examination, chest; 2 views |
32 |
26 |
$90.00 |
| 90620 |
|
79 |
50 |
$74.79 |
| 99000 |
|
208 |
179 |
$70.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$70.00 |
| 90674 |
|
105 |
70 |
$61.82 |
| 82948 |
|
100 |
70 |
$58.37 |
| 87081 |
|
37 |
29 |
$44.29 |
| 90756 |
|
45 |
36 |
$43.46 |
| 3288F |
|
3,883 |
3,452 |
$40.95 |
| 3061F |
|
30 |
29 |
$39.39 |
| 98968 |
|
14 |
13 |
$35.45 |
| 1126F |
|
870 |
771 |
$28.34 |
| 3044F |
|
1,805 |
1,216 |
$26.78 |
| 90715 |
|
57 |
27 |
$14.18 |
| 91300 |
|
1,348 |
1,258 |
$14.18 |
| 1000F |
|
43 |
40 |
$14.17 |
| 3077F |
|
1,083 |
707 |
$14.17 |
| 1159F |
|
5,710 |
4,652 |
$12.63 |
| 87210 |
|
162 |
27 |
$3.49 |
| 1160F |
|
5,670 |
4,604 |
$0.03 |
| 91301 |
|
97 |
91 |
$0.01 |
| 1101F |
|
4,071 |
3,599 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
890 |
576 |
$0.00 |
| 3080F |
|
190 |
128 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
370 |
193 |
$0.00 |
| 3048F |
|
198 |
135 |
$0.00 |
| 91303 |
|
124 |
119 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
92 |
63 |
$0.00 |
| 3049F |
|
193 |
83 |
$0.00 |
| 1036F |
|
37 |
37 |
$0.00 |
| 90697 |
|
38 |
15 |
$0.00 |
| 1157F |
|
118 |
32 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
21 |
18 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
853 |
560 |
$0.00 |
| 3050F |
|
195 |
120 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
125 |
77 |
$0.00 |
| 2028F |
|
55 |
40 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
222 |
126 |
$0.00 |
| 3016F |
|
66 |
57 |
$0.00 |
| 98966 |
|
26 |
26 |
$0.00 |