| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,749 |
61,044 |
$2.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,144 |
25,497 |
$1.91M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,872 |
7,297 |
$497K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,071 |
6,576 |
$448K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,175 |
3,719 |
$248K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,140 |
4,057 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,048 |
1,807 |
$128K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,950 |
6,789 |
$109K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,917 |
2,394 |
$100K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,804 |
4,106 |
$90K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,119 |
3,356 |
$88K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,016 |
835 |
$83K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,994 |
5,375 |
$71K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,535 |
1,370 |
$68K |
| 90670 |
|
5,751 |
5,578 |
$40K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
864 |
842 |
$39K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,540 |
1,423 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,186 |
832 |
$30K |
| 83655 |
|
2,209 |
2,069 |
$30K |
| 90680 |
|
3,841 |
3,712 |
$26K |
| 90698 |
|
2,786 |
2,713 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
623 |
572 |
$20K |
| 87634 |
|
283 |
248 |
$20K |
| 99441 |
|
428 |
411 |
$19K |
| 90633 |
|
2,605 |
2,518 |
$19K |
| 90686 |
|
2,142 |
1,966 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,044 |
948 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
247 |
223 |
$12K |
| 99442 |
|
193 |
185 |
$12K |
| 80050 |
General health panel |
340 |
340 |
$11K |
| 90744 |
|
1,593 |
1,551 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
151 |
151 |
$10K |
| 90648 |
|
1,539 |
1,512 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
73 |
$10K |
| 99307 |
|
542 |
525 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,167 |
1,132 |
$8K |
| 87400 |
|
1,382 |
1,047 |
$8K |
| 90688 |
|
1,415 |
1,383 |
$8K |
| 80061 |
Lipid panel |
584 |
582 |
$7K |
| 85018 |
|
2,418 |
2,247 |
$6K |
| 85014 |
|
2,415 |
2,244 |
$6K |
| 90716 |
|
846 |
817 |
$6K |
| 90707 |
|
823 |
794 |
$6K |
| 90697 |
|
635 |
588 |
$6K |
| 54150 |
|
36 |
36 |
$5K |
| 90473 |
|
323 |
321 |
$5K |
| 87807 |
|
492 |
432 |
$5K |
| 99460 |
|
61 |
54 |
$5K |
| 90723 |
|
809 |
796 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,094 |
1,010 |
$5K |
| 90700 |
|
627 |
615 |
$4K |
| 90710 |
|
422 |
412 |
$3K |
| 80053 |
Comprehensive metabolic panel |
372 |
366 |
$3K |
| 99215 |
Prolong outpt/office vis |
30 |
27 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
201 |
184 |
$3K |
| 90651 |
|
435 |
393 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
352 |
349 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$3K |
| 90619 |
|
261 |
226 |
$3K |
| 90734 |
|
358 |
340 |
$3K |
| 90677 |
|
418 |
363 |
$3K |
| 90696 |
|
302 |
297 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
294 |
294 |
$3K |
| 90715 |
|
273 |
256 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
73 |
70 |
$2K |
| 99463 |
|
14 |
12 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
138 |
119 |
$793.06 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
17 |
$786.22 |
| 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) |
490 |
387 |
$468.92 |
| 99490 |
Ccm add 20min |
116 |
116 |
$445.45 |
| 90685 |
|
54 |
54 |
$360.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$242.02 |
| 99305 |
|
12 |
12 |
$237.10 |
| 90474 |
|
16 |
14 |
$227.11 |
| 82247 |
|
19 |
13 |
$111.91 |
| 90681 |
|
12 |
12 |
$57.36 |
| 36415 |
Collection of venous blood by venipuncture |
246 |
218 |
$39.45 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
14 |
$30.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$29.59 |
| 81003 |
|
37 |
36 |
$16.00 |
| 3078F |
|
499 |
366 |
$10.00 |
| G9901 |
Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period |
2,117 |
1,666 |
$8.02 |
| G9910 |
Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period |
204 |
181 |
$1.77 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
376 |
356 |
$0.14 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
7,809 |
6,603 |
$0.05 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
8,218 |
6,898 |
$0.05 |
| 1036F |
|
5,436 |
4,349 |
$0.02 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,383 |
2,870 |
$0.02 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,032 |
760 |
$0.01 |
| 1100F |
|
1,942 |
1,455 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
738 |
725 |
$0.00 |
| 1160F |
|
210 |
175 |
$0.00 |
| 3288F |
|
1,442 |
1,156 |
$0.00 |
| 1159F |
|
62 |
48 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
150 |
144 |
$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) |
248 |
192 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
279 |
270 |
$0.00 |
| 96160 |
|
153 |
153 |
$0.00 |
| 4004F |
|
250 |
241 |
$0.00 |
| G9898 |
Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period |
25 |
25 |
$0.00 |
| 3077F |
|
16 |
16 |
$0.00 |
| 3008F |
|
11,207 |
9,687 |
$0.00 |
| 0001F |
|
45 |
41 |
$0.00 |
| 1101F |
|
560 |
489 |
$0.00 |
| 3074F |
|
515 |
391 |
$0.00 |
| 4037F |
|
156 |
154 |
$0.00 |
| 1126F |
|
179 |
154 |
$0.00 |
| 3044F |
|
15 |
13 |
$0.00 |
| 3075F |
|
22 |
12 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
103 |
99 |
$0.00 |
| 90674 |
|
48 |
48 |
$0.00 |
| 91301 |
|
29 |
29 |
$0.00 |
| 1170F |
|
32 |
27 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 1125F |
|
49 |
44 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
22 |
16 |
$0.00 |