| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,432 |
22,646 |
$907K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,054 |
1,727 |
$76K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,094 |
942 |
$48K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,653 |
2,320 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
390 |
373 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
374 |
333 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
442 |
357 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
353 |
298 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
333 |
304 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,726 |
1,519 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,988 |
1,675 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
401 |
331 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,187 |
966 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
163 |
144 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
184 |
146 |
$10K |
| 92567 |
|
827 |
745 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
533 |
444 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
752 |
703 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
948 |
857 |
$7K |
| 90674 |
|
444 |
361 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
536 |
484 |
$5K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
114 |
107 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,830 |
2,523 |
$4K |
| 99177 |
|
822 |
707 |
$4K |
| 1125F |
|
14,252 |
10,870 |
$3K |
| 81003 |
|
2,175 |
1,785 |
$3K |
| 1126F |
|
3,641 |
2,946 |
$2K |
| 92587 |
|
221 |
182 |
$2K |
| 97802 |
|
989 |
891 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
212 |
178 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
31 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
53 |
43 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
186 |
146 |
$1K |
| 96127 |
|
248 |
221 |
$951.01 |
| 99173 |
|
306 |
267 |
$931.50 |
| 93000 |
|
108 |
94 |
$804.78 |
| 99305 |
|
45 |
35 |
$619.72 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$603.33 |
| 99483 |
Prolong outpt/office vis |
37 |
37 |
$562.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
39 |
$548.51 |
| 85018 |
|
254 |
239 |
$527.09 |
| 94010 |
|
30 |
26 |
$505.73 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
563 |
497 |
$503.29 |
| 99217 |
|
12 |
12 |
$489.97 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
208 |
166 |
$449.95 |
| 99406 |
|
99 |
84 |
$442.36 |
| 87807 |
|
57 |
53 |
$344.58 |
| 90677 |
|
104 |
100 |
$300.00 |
| 83655 |
|
29 |
29 |
$226.32 |
| 99318 |
|
19 |
18 |
$203.93 |
| 80305 |
|
110 |
100 |
$184.24 |
| 72100 |
|
13 |
12 |
$180.42 |
| 90670 |
|
136 |
124 |
$100.00 |
| 99497 |
|
37 |
37 |
$88.08 |
| 82043 |
|
118 |
106 |
$70.14 |
| 3078F |
|
60 |
41 |
$70.00 |
| 3074F |
|
95 |
71 |
$60.00 |
| 81025 |
|
17 |
14 |
$56.42 |
| 36416 |
|
32 |
24 |
$50.51 |
| 90647 |
|
59 |
52 |
$34.35 |
| 3061F |
|
15 |
12 |
$30.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
21 |
14 |
$22.12 |
| 92558 |
|
19 |
17 |
$17.48 |
| G0008 |
Administration of influenza virus vaccine |
22 |
20 |
$13.12 |
| 3077F |
|
20 |
17 |
$10.00 |
| 3079F |
|
27 |
26 |
$10.00 |
| 96161 |
|
59 |
47 |
$5.75 |
| 90649 |
|
51 |
41 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
19,039 |
14,504 |
$0.00 |
| 1159F |
|
76 |
67 |
$0.00 |
| 90672 |
|
47 |
47 |
$0.00 |
| 90707 |
|
42 |
41 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
68 |
65 |
$0.00 |
| 1160F |
|
76 |
67 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
8,797 |
6,927 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
9,961 |
7,871 |
$0.00 |
| 90723 |
|
59 |
50 |
$0.00 |
| 99606 |
|
35 |
35 |
$0.00 |
| 1123F |
|
78 |
69 |
$0.00 |
| 1170F |
|
78 |
69 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
51 |
49 |
$0.00 |
| 90697 |
|
13 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14 |
14 |
$0.00 |
| 90680 |
|
16 |
12 |
$0.00 |