| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106,779 |
93,323 |
$623K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41,480 |
41,145 |
$317K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,885 |
15,815 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13,926 |
13,830 |
$114K |
| 99441 |
|
15,372 |
13,815 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,891 |
10,766 |
$82K |
| 99401 |
|
41,709 |
41,052 |
$63K |
| 92587 |
|
15,215 |
15,190 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,391 |
2,287 |
$30K |
| 99442 |
|
2,075 |
1,986 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,946 |
1,934 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,514 |
3,474 |
$15K |
| 85018 |
|
18,024 |
17,980 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,880 |
4,828 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,442 |
2,395 |
$13K |
| 90461 |
|
10,826 |
10,779 |
$10K |
| 99173 |
|
17,388 |
17,296 |
$7K |
| 99381 |
|
475 |
465 |
$6K |
| H0001 |
Alcohol and/or drug assessment |
15,641 |
15,583 |
$5K |
| 0003A |
|
107 |
107 |
$4K |
| 99406 |
|
877 |
877 |
$3K |
| 86580 |
|
920 |
901 |
$3K |
| 0001A |
|
113 |
107 |
$3K |
| 96160 |
|
1,358 |
1,260 |
$3K |
| 90686 |
|
9,763 |
9,742 |
$3K |
| 81002 |
|
14,008 |
13,831 |
$2K |
| 90651 |
|
3,939 |
3,926 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
22,905 |
22,413 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
823 |
800 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
173 |
$2K |
| 90619 |
|
893 |
893 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
313 |
303 |
$1K |
| 90633 |
|
1,809 |
1,804 |
$1K |
| 90715 |
|
1,081 |
1,077 |
$1K |
| 90710 |
|
1,247 |
1,239 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,286 |
2,219 |
$1K |
| 0081A |
|
25 |
25 |
$1K |
| 90621 |
|
246 |
246 |
$957.18 |
| 96127 |
|
9,649 |
9,625 |
$784.81 |
| 36416 |
|
13,013 |
12,957 |
$661.66 |
| 90680 |
|
931 |
926 |
$621.90 |
| 99383 |
|
40 |
40 |
$609.35 |
| 0002A |
|
67 |
67 |
$600.00 |
| 0071A |
|
16 |
16 |
$600.00 |
| 90656 |
|
467 |
467 |
$590.00 |
| 90620 |
|
1,146 |
1,143 |
$582.05 |
| 0072A |
|
14 |
14 |
$560.00 |
| A4930 |
Gloves, sterile, per pair |
19,365 |
18,798 |
$526.05 |
| 90670 |
|
1,944 |
1,933 |
$325.00 |
| 90698 |
|
105 |
105 |
$321.30 |
| 90734 |
|
2,009 |
2,004 |
$310.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
527 |
526 |
$307.98 |
| 90688 |
|
1,568 |
1,568 |
$283.74 |
| 99000 |
|
15,792 |
15,387 |
$248.62 |
| 99429 |
|
550 |
541 |
$233.75 |
| 87110 |
|
5,574 |
5,553 |
$211.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
97 |
$172.40 |
| 90677 |
|
180 |
179 |
$140.00 |
| 90716 |
|
53 |
53 |
$100.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
30,354 |
30,163 |
$87.72 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
291 |
288 |
$71.80 |
| 90723 |
|
279 |
275 |
$65.00 |
| 87486 |
|
358 |
354 |
$64.40 |
| 90648 |
|
513 |
509 |
$55.00 |
| 90744 |
|
13 |
13 |
$31.47 |
| 90674 |
|
622 |
607 |
$30.77 |
| A7015 |
Aerosol mask, used with dme nebulizer |
267 |
259 |
$18.02 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
653 |
642 |
$16.68 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
309 |
300 |
$12.55 |
| 99496 |
|
32 |
32 |
$10.00 |
| 3074F |
|
1,122 |
1,117 |
$10.00 |
| 3078F |
|
1,103 |
1,097 |
$7.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12,388 |
12,210 |
$7.13 |
| 97802 |
|
15,866 |
15,780 |
$4.07 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
11,312 |
11,271 |
$2.92 |
| 86769 |
|
173 |
173 |
$1.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,022 |
1,021 |
$0.92 |
| 83655 |
|
1,370 |
1,366 |
$0.57 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
85 |
85 |
$0.32 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
476 |
475 |
$0.30 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
29,689 |
29,426 |
$0.15 |
| 91307 |
|
16 |
15 |
$0.15 |
| G0008 |
Administration of influenza virus vaccine |
645 |
645 |
$0.05 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,300 |
1,271 |
$0.04 |
| 3725F |
|
9,177 |
8,997 |
$0.00 |
| 3016F |
|
8,434 |
8,419 |
$0.00 |
| 1159F |
|
2,258 |
2,241 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,324 |
2,315 |
$0.00 |
| 90685 |
|
421 |
421 |
$0.00 |
| 3210F |
|
1,369 |
1,356 |
$0.00 |
| 90672 |
|
644 |
644 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
778 |
775 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
899 |
872 |
$0.00 |
| 99446 |
|
159 |
155 |
$0.00 |
| 0073A |
|
61 |
61 |
$0.00 |
| 91300 |
|
72 |
60 |
$0.00 |
| 3085F |
|
14 |
14 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
351 |
347 |
$0.00 |
| 90671 |
|
212 |
212 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
18 |
18 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
18 |
18 |
$0.00 |
| 90473 |
|
35 |
35 |
$0.00 |
| 1000F |
|
8,666 |
8,644 |
$0.00 |
| 1036F |
|
8,445 |
8,424 |
$0.00 |
| 3008F |
|
71,722 |
63,083 |
$0.00 |
| 2010F |
|
42,818 |
40,429 |
$0.00 |
| 1220F |
|
3,502 |
3,491 |
$0.00 |
| 1038F |
|
686 |
632 |
$0.00 |
| 1005F |
|
2,291 |
2,124 |
$0.00 |
| 3351F |
|
2,117 |
2,111 |
$0.00 |
| 4037F |
|
4,593 |
4,581 |
$0.00 |
| 2016F |
|
2,276 |
2,112 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,321 |
2,312 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
1,971 |
1,947 |
$0.00 |
| 90697 |
|
45 |
45 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,099 |
1,063 |
$0.00 |
| 4015F |
|
731 |
676 |
$0.00 |
| 1030F |
|
4,556 |
4,544 |
$0.00 |
| 90696 |
|
268 |
264 |
$0.00 |
| 99443 |
|
74 |
72 |
$0.00 |
| 2001F |
|
14 |
14 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
49 |
49 |
$0.00 |
| 99495 |
|
26 |
26 |
$0.00 |