| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,463 |
8,315 |
$341K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,716 |
2,330 |
$106K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
584 |
511 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
937 |
659 |
$27K |
| 99401 |
|
2,219 |
1,581 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
746 |
648 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,430 |
1,113 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
304 |
257 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
819 |
711 |
$6K |
| 90674 |
|
264 |
253 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
99 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,654 |
2,792 |
$4K |
| 99443 |
|
153 |
140 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
14 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
297 |
279 |
$3K |
| 99386 |
|
58 |
58 |
$2K |
| 96127 |
|
724 |
695 |
$2K |
| 99385 |
|
57 |
57 |
$1K |
| 99442 |
|
77 |
76 |
$1K |
| 96160 |
|
688 |
542 |
$1K |
| 93000 |
|
76 |
65 |
$902.70 |
| 99490 |
Ccm add 20min |
95 |
95 |
$787.35 |
| 90686 |
|
44 |
41 |
$745.29 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
579 |
417 |
$734.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
49 |
12 |
$721.75 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
58 |
49 |
$669.39 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
31 |
$668.38 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
372 |
312 |
$585.12 |
| 99408 |
|
502 |
418 |
$500.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
205 |
189 |
$326.06 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
32 |
32 |
$224.00 |
| 82962 |
|
1,296 |
753 |
$171.04 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
13 |
$146.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$145.86 |
| 82947 |
|
37 |
34 |
$112.37 |
| 1160F |
|
10,291 |
6,474 |
$76.00 |
| 1126F |
|
6,012 |
4,382 |
$65.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$43.70 |
| 94760 |
|
345 |
304 |
$23.20 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,172 |
2,656 |
$0.00 |
| 1159F |
|
6,795 |
4,375 |
$0.00 |
| 3050F |
|
399 |
350 |
$0.00 |
| 3077F |
|
125 |
109 |
$0.00 |
| 3078F |
|
3,154 |
2,399 |
$0.00 |
| 81002 |
|
41 |
40 |
$0.00 |
| G9931 |
Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for women |
148 |
132 |
$0.00 |
| 3051F |
|
53 |
46 |
$0.00 |
| 1100F |
|
45 |
34 |
$0.00 |
| 3074F |
|
3,807 |
2,786 |
$0.00 |
| 1125F |
|
3,650 |
2,792 |
$0.00 |
| 3044F |
|
1,470 |
1,164 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
589 |
363 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,425 |
1,183 |
$0.00 |
| 3079F |
|
1,135 |
868 |
$0.00 |
| 3017F |
|
174 |
96 |
$0.00 |
| 3048F |
|
654 |
549 |
$0.00 |
| 3008F |
|
2,716 |
1,770 |
$0.00 |
| 3049F |
|
615 |
512 |
$0.00 |
| 3075F |
|
261 |
223 |
$0.00 |
| 36416 |
|
55 |
50 |
$0.00 |
| 3061F |
|
191 |
176 |
$0.00 |
| 3060F |
|
121 |
97 |
$0.00 |