| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,516 |
20,586 |
$1.07M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,487 |
16,124 |
$595K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,872 |
5,000 |
$306K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,421 |
3,184 |
$95K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,454 |
4,977 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,683 |
5,271 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
759 |
731 |
$63K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,768 |
2,086 |
$54K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,950 |
9,508 |
$53K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
10,386 |
9,013 |
$52K |
| 80061 |
Lipid panel |
5,325 |
4,612 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
495 |
479 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
427 |
410 |
$33K |
| 1159F |
|
26,745 |
23,792 |
$26K |
| 1160F |
|
25,211 |
22,470 |
$25K |
| 99406 |
|
2,888 |
2,553 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
15,379 |
13,043 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,456 |
922 |
$17K |
| 3008F |
|
18,847 |
17,025 |
$17K |
| 3074F |
|
9,188 |
8,365 |
$13K |
| 3078F |
|
8,021 |
7,354 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,456 |
2,135 |
$11K |
| 81001 |
|
4,751 |
4,202 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
780 |
718 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
126 |
$9K |
| 80076 |
|
2,733 |
2,304 |
$9K |
| 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) |
1,491 |
1,326 |
$9K |
| 3079F |
|
4,103 |
3,775 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
93 |
$7K |
| 3077F |
|
3,370 |
3,092 |
$6K |
| 90619 |
|
89 |
86 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
96 |
90 |
$5K |
| 3011F |
|
3,133 |
2,981 |
$4K |
| 1125F |
|
3,982 |
3,599 |
$4K |
| 90670 |
|
161 |
158 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
239 |
220 |
$3K |
| 3075F |
|
1,637 |
1,531 |
$3K |
| 1126F |
|
3,250 |
3,049 |
$3K |
| 90734 |
|
124 |
124 |
$3K |
| 3080F |
|
2,000 |
1,861 |
$3K |
| 99318 |
|
200 |
118 |
$3K |
| 90651 |
|
55 |
55 |
$3K |
| 99307 |
|
516 |
357 |
$3K |
| 90710 |
|
81 |
76 |
$3K |
| 87428 |
|
56 |
52 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
25 |
$2K |
| 90633 |
|
157 |
155 |
$2K |
| 90715 |
|
115 |
112 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
151 |
132 |
$2K |
| 90686 |
|
129 |
123 |
$1K |
| 90698 |
|
92 |
91 |
$1K |
| 81025 |
|
152 |
148 |
$1K |
| 99173 |
|
370 |
367 |
$922.27 |
| 71046 |
Radiologic examination, chest; 2 views |
48 |
38 |
$844.18 |
| 90696 |
|
68 |
63 |
$822.05 |
| 3044F |
|
178 |
167 |
$465.00 |
| 83735 |
|
221 |
199 |
$432.89 |
| 80053 |
Comprehensive metabolic panel |
194 |
147 |
$325.94 |
| 90756 |
|
32 |
26 |
$309.73 |
| 90744 |
|
30 |
26 |
$303.16 |
| 90688 |
|
25 |
18 |
$268.20 |
| 99000 |
|
83 |
73 |
$153.87 |
| 90716 |
|
14 |
13 |
$144.65 |
| 90707 |
|
13 |
12 |
$132.55 |
| 85018 |
|
51 |
48 |
$129.10 |
| 90662 |
|
27 |
27 |
$123.32 |
| 90653 |
|
24 |
21 |
$119.12 |
| 92551 |
|
12 |
12 |
$118.32 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
132 |
83 |
$109.68 |
| 99441 |
|
12 |
12 |
$107.52 |
| 82570 |
|
29 |
26 |
$96.08 |
| 4010F |
|
187 |
175 |
$89.00 |
| 82043 |
|
29 |
26 |
$81.02 |
| 81003 |
|
43 |
38 |
$61.18 |
| 85014 |
|
15 |
14 |
$37.99 |
| G0008 |
Administration of influenza virus vaccine |
76 |
65 |
$19.55 |
| 0513F |
|
42 |
41 |
$16.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
278 |
203 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
186 |
142 |
$0.00 |
| G9745 |
Documented reason for not screening or recommending a follow-up for high blood pressure |
225 |
166 |
$0.00 |
| 1036F |
|
476 |
354 |
$0.00 |
| 3017F |
|
313 |
237 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
46 |
38 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
14 |
13 |
$0.00 |
| 1034F |
|
27 |
25 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
113 |
88 |
$0.00 |
| 4040F |
|
102 |
68 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
259 |
202 |
$0.00 |
| 4004F |
|
26 |
24 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
151 |
130 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
24 |
14 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
15 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
100 |
78 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 91300 |
|
18 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
20 |
16 |
$0.00 |