| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,809 |
24,801 |
$1.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,635 |
9,073 |
$838K |
| S9083 |
Global fee urgent care centers |
5,479 |
3,219 |
$425K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,706 |
3,099 |
$270K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,298 |
5,277 |
$229K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,892 |
2,515 |
$226K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,718 |
2,190 |
$212K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,066 |
1,749 |
$142K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,391 |
9,232 |
$119K |
| 92587 |
|
5,733 |
4,489 |
$81K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,588 |
5,128 |
$63K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,987 |
4,214 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
826 |
515 |
$51K |
| 92558 |
|
7,310 |
5,780 |
$49K |
| 90651 |
|
450 |
344 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,414 |
3,265 |
$27K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,159 |
2,558 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,661 |
935 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
471 |
450 |
$18K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,179 |
1,242 |
$17K |
| 90686 |
|
3,051 |
2,121 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
301 |
176 |
$16K |
| 90671 |
|
130 |
125 |
$12K |
| 99188 |
|
907 |
856 |
$11K |
| 99173 |
|
8,544 |
6,021 |
$9K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,735 |
899 |
$8K |
| 90619 |
|
67 |
62 |
$7K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
471 |
433 |
$7K |
| 90670 |
|
475 |
322 |
$6K |
| 90716 |
|
262 |
171 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
147 |
140 |
$5K |
| 90734 |
|
213 |
139 |
$5K |
| 99385 |
|
46 |
40 |
$4K |
| 99383 |
|
78 |
55 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
525 |
226 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
50 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
57 |
57 |
$3K |
| 90707 |
|
199 |
153 |
$2K |
| 90700 |
|
696 |
504 |
$2K |
| 90656 |
|
249 |
237 |
$2K |
| 90713 |
|
542 |
385 |
$2K |
| 90474 |
|
298 |
184 |
$2K |
| 94060 |
|
29 |
29 |
$1K |
| 99382 |
|
26 |
13 |
$1K |
| 99386 |
|
18 |
12 |
$1K |
| 90633 |
|
270 |
195 |
$1K |
| 90687 |
|
81 |
81 |
$1K |
| 99442 |
|
20 |
15 |
$1K |
| 99050 |
|
106 |
106 |
$974.33 |
| 90715 |
|
116 |
86 |
$920.62 |
| 96127 |
|
299 |
299 |
$760.95 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,084 |
1,942 |
$661.26 |
| 90461 |
|
105 |
52 |
$625.08 |
| 86328 |
|
12 |
12 |
$542.76 |
| 99381 |
|
26 |
16 |
$478.80 |
| 90648 |
|
434 |
289 |
$454.91 |
| 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) |
91 |
81 |
$362.73 |
| 90744 |
|
246 |
159 |
$360.72 |
| 69210 |
|
12 |
12 |
$358.16 |
| 90681 |
|
110 |
77 |
$322.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$254.55 |
| 90658 |
|
171 |
57 |
$233.61 |
| 90688 |
|
12 |
12 |
$207.12 |
| 36410 |
|
12 |
12 |
$194.33 |
| H0001 |
Alcohol and/or drug assessment |
52 |
50 |
$148.50 |
| 97802 |
|
275 |
67 |
$102.70 |
| 90680 |
|
38 |
34 |
$101.72 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,581 |
4,037 |
$74.00 |
| 94010 |
|
13 |
13 |
$35.96 |
| 99051 |
|
19 |
19 |
$34.15 |
| 3008F |
|
3,139 |
1,563 |
$31.98 |
| 99499 |
|
386 |
46 |
$20.00 |
| 96160 |
|
21 |
21 |
$19.56 |
| 94760 |
|
25 |
23 |
$9.68 |
| 81002 |
|
46 |
12 |
$2.20 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,204 |
677 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
528 |
355 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
705 |
380 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
20 |
15 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
197 |
119 |
$0.00 |
| 1036F |
|
1,026 |
598 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,626 |
890 |
$0.00 |
| 36416 |
|
85 |
68 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
21 |
12 |
$0.00 |
| 90698 |
|
31 |
27 |
$0.00 |
| 82962 |
|
80 |
67 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
27 |
14 |
$0.00 |
| 3044F |
|
19 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,813 |
1,044 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
457 |
310 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,291 |
732 |
$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) |
1,840 |
1,024 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
66 |
54 |
$0.00 |
| 99072 |
|
631 |
214 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
583 |
190 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
28 |
13 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
117 |
95 |
$0.00 |
| 4551F |
|
163 |
99 |
$0.00 |
| 3725F |
|
706 |
151 |
$0.00 |
| 90672 |
|
36 |
13 |
$0.00 |