| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,074 |
9,201 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,247 |
4,083 |
$514K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
633 |
623 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
368 |
365 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,605 |
2,554 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
248 |
232 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
128 |
125 |
$19K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
24 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,403 |
2,279 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
94 |
87 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,239 |
742 |
$929.50 |
| 99188 |
|
147 |
147 |
$816.07 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
93 |
86 |
$292.53 |
| 81025 |
|
160 |
153 |
$122.38 |
| 90686 |
|
304 |
302 |
$118.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$58.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$56.00 |
| 87210 |
|
13 |
12 |
$25.20 |
| 99177 |
|
1,401 |
1,335 |
$15.22 |
| 81003 |
|
303 |
274 |
$14.58 |
| 99174 |
|
164 |
160 |
$14.00 |
| 85018 |
|
29 |
29 |
$3.26 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.13 |
| 3008F |
|
2,067 |
1,976 |
$0.00 |
| 96127 |
|
368 |
341 |
$0.00 |
| 3074F |
|
2,425 |
2,294 |
$0.00 |
| 3079F |
|
680 |
624 |
$0.00 |
| 92551 |
|
225 |
214 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
86 |
84 |
$0.00 |
| 3080F |
|
89 |
77 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
96 |
94 |
$0.00 |
| 3075F |
|
52 |
50 |
$0.00 |
| 1126F |
|
174 |
150 |
$0.00 |
| 1125F |
|
143 |
125 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
98 |
95 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
26 |
25 |
$0.00 |
| 90674 |
|
14 |
13 |
$0.00 |
| 96161 |
|
16 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,441 |
3,055 |
$0.00 |
| 3078F |
|
1,400 |
1,195 |
$0.00 |
| 3077F |
|
156 |
144 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
107 |
103 |
$0.00 |
| 90671 |
|
78 |
78 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 83655 |
|
27 |
27 |
$0.00 |