| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,065 |
7,646 |
$863K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,156 |
5,175 |
$445K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,964 |
3,368 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
84 |
83 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
54 |
$9K |
| 99215 |
Prolong outpt/office vis |
70 |
66 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,672 |
1,926 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,110 |
1,705 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$2K |
| 99050 |
|
83 |
78 |
$1K |
| 90686 |
|
129 |
101 |
$843.54 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,802 |
1,556 |
$634.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
26 |
$580.42 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
13 |
$572.15 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
54 |
18 |
$542.82 |
| 90715 |
|
64 |
53 |
$511.75 |
| 87428 |
|
155 |
130 |
$445.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
242 |
189 |
$397.90 |
| 86328 |
|
184 |
181 |
$301.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,414 |
2,072 |
$190.30 |
| 36415 |
Collection of venous blood by venipuncture |
331 |
291 |
$178.62 |
| 90734 |
|
13 |
13 |
$150.71 |
| 92551 |
|
56 |
43 |
$127.53 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
267 |
253 |
$43.16 |
| 36416 |
|
838 |
741 |
$22.37 |
| 99173 |
|
56 |
43 |
$21.64 |
| 85018 |
|
52 |
44 |
$17.76 |
| 81003 |
|
96 |
79 |
$8.96 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
381 |
342 |
$0.00 |
| 1170F |
|
104 |
73 |
$0.00 |
| 3074F |
|
251 |
199 |
$0.00 |
| 3008F |
|
165 |
125 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
140 |
119 |
$0.00 |
| 1126F |
|
55 |
43 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
178 |
150 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
13 |
12 |
$0.00 |
| 1125F |
|
39 |
27 |
$0.00 |
| 1101F |
|
77 |
46 |
$0.00 |
| 1036F |
|
68 |
42 |
$0.00 |
| 3079F |
|
90 |
75 |
$0.00 |
| 3351F |
|
82 |
52 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
706 |
574 |
$0.00 |
| 1159F |
|
253 |
194 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
103 |
88 |
$0.00 |
| 82947 |
|
53 |
50 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
27 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
191 |
160 |
$0.00 |
| 3078F |
|
212 |
172 |
$0.00 |
| 1160F |
|
252 |
193 |
$0.00 |
| 81025 |
|
45 |
34 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
89 |
86 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
61 |
54 |
$0.00 |
| 3077F |
|
16 |
14 |
$0.00 |