| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132,127 |
86,079 |
$8.61M |
| 99401 |
|
73,104 |
49,473 |
$1.52M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
7,137 |
7,081 |
$699K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,363 |
5,321 |
$492K |
| 94729 |
|
9,315 |
9,227 |
$333K |
| 94727 |
|
9,463 |
9,372 |
$261K |
| 94010 |
|
9,523 |
9,423 |
$246K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,541 |
2,529 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,873 |
1,574 |
$187K |
| 93923 |
|
2,328 |
2,303 |
$140K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,194 |
2,813 |
$126K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,960 |
6,715 |
$65K |
| 93000 |
|
4,501 |
4,396 |
$60K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,770 |
4,118 |
$57K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,090 |
3,540 |
$52K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
307 |
304 |
$46K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,018 |
1,936 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
353 |
349 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
31,741 |
30,485 |
$22K |
| 93922 |
|
396 |
389 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,128 |
1,118 |
$15K |
| 99408 |
|
1,165 |
1,101 |
$14K |
| 1111F |
|
18,423 |
12,912 |
$14K |
| 90688 |
|
541 |
539 |
$10K |
| 99407 |
|
468 |
453 |
$9K |
| 99385 |
|
86 |
86 |
$8K |
| 90658 |
|
487 |
485 |
$8K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,950 |
3,489 |
$5K |
| 99397 |
|
48 |
47 |
$5K |
| 81002 |
|
2,666 |
2,534 |
$5K |
| 0592T |
|
466 |
447 |
$4K |
| 3074F |
|
2,412 |
2,144 |
$4K |
| 99402 |
|
76 |
72 |
$4K |
| 3078F |
|
2,226 |
2,003 |
$4K |
| 0591T |
|
230 |
219 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
71 |
63 |
$3K |
| 93880 |
|
26 |
25 |
$3K |
| 93970 |
|
18 |
16 |
$2K |
| 3044F |
|
393 |
356 |
$2K |
| 99386 |
|
14 |
14 |
$1K |
| 99495 |
|
118 |
118 |
$1K |
| 3079F |
|
485 |
460 |
$1K |
| 95943 |
|
14 |
14 |
$1K |
| 90653 |
|
20 |
20 |
$914.93 |
| 96160 |
|
367 |
364 |
$879.17 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
67 |
$701.78 |
| 3051F |
|
186 |
162 |
$700.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
14 |
$684.09 |
| 3046F |
|
80 |
67 |
$500.00 |
| 99497 |
|
23 |
23 |
$438.87 |
| 3075F |
|
81 |
78 |
$272.50 |
| 99441 |
|
22 |
21 |
$253.00 |
| 3077F |
|
292 |
268 |
$222.50 |
| 1159F |
|
43,994 |
29,255 |
$182.04 |
| 3052F |
|
13 |
12 |
$120.00 |
| 1160F |
|
27,922 |
19,018 |
$27.03 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
1,833 |
1,731 |
$22.36 |
| 3080F |
|
72 |
70 |
$15.00 |
| 3725F |
|
2,628 |
2,573 |
$2.64 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.02 |
| 99072 |
|
13,812 |
9,198 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
46 |
45 |
$0.00 |
| 3045F |
|
16 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
252 |
219 |
$0.00 |
| 1158F |
|
17 |
17 |
$0.00 |
| 1125F |
|
1,005 |
955 |
$0.00 |
| 99000 |
|
112 |
105 |
$0.00 |
| 3061F |
|
67 |
59 |
$0.00 |
| 1170F |
|
18 |
18 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
251 |
218 |
$0.00 |
| 4010F |
|
48 |
42 |
$0.00 |
| 97802 |
|
17 |
16 |
$0.00 |
| 1157F |
|
17 |
17 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
28 |
26 |
$0.00 |