| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,884 |
18,167 |
$743K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,353 |
11,593 |
$612K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,219 |
3,756 |
$348K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,160 |
3,142 |
$270K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,169 |
9,565 |
$223K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,747 |
1,741 |
$158K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,166 |
1,156 |
$112K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,978 |
1,973 |
$49K |
| 81002 |
|
14,004 |
10,831 |
$37K |
| 81025 |
|
3,620 |
3,433 |
$25K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
450 |
444 |
$18K |
| 90688 |
|
2,890 |
2,866 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,160 |
1,149 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
159 |
158 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
837 |
808 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
966 |
952 |
$9K |
| 90461 |
|
950 |
920 |
$7K |
| 87807 |
|
648 |
639 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
164 |
$4K |
| 96160 |
|
1,275 |
1,272 |
$2K |
| 90658 |
|
121 |
121 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
234 |
180 |
$2K |
| 99429 |
|
41 |
41 |
$2K |
| 90715 |
|
59 |
58 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
14 |
$876.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
66 |
$769.68 |
| 90670 |
|
1,723 |
1,709 |
$657.08 |
| 96380 |
|
20 |
20 |
$261.25 |
| 90686 |
|
1,306 |
1,301 |
$87.40 |
| 90656 |
|
401 |
400 |
$55.90 |
| 82044 |
|
12 |
12 |
$5.28 |
| 82962 |
|
2,205 |
1,716 |
$4.38 |
| 90671 |
|
695 |
677 |
$0.44 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
5,406 |
5,363 |
$0.40 |
| 90734 |
|
49 |
49 |
$0.02 |
| 90697 |
|
1,069 |
1,053 |
$0.02 |
| 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) |
1,423 |
1,290 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,983 |
3,932 |
$0.00 |
| 0502F |
|
4,354 |
2,614 |
$0.00 |
| 90633 |
|
319 |
318 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,302 |
3,411 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
3,115 |
2,687 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
953 |
767 |
$0.00 |
| 90648 |
|
497 |
496 |
$0.00 |
| 90710 |
|
178 |
178 |
$0.00 |
| 90380 |
|
14 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
63 |
57 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
30 |
24 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
29 |
25 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
17 |
16 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
294 |
257 |
$0.00 |
| 90680 |
|
1,162 |
1,148 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,786 |
1,400 |
$0.00 |
| 1036F |
|
2,330 |
1,874 |
$0.00 |
| 1111F |
|
58 |
56 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
92 |
84 |
$0.00 |
| 90723 |
|
218 |
217 |
$0.00 |
| 3017F |
|
60 |
52 |
$0.00 |
| 0503F |
|
14 |
12 |
$0.00 |
| 90651 |
|
40 |
39 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
13 |
12 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
28 |
26 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
18 |
14 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
12 |
12 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
16 |
15 |
$0.00 |