| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,997 |
6,244 |
$287K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,118 |
1,114 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,008 |
1,004 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
939 |
929 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
706 |
705 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,006 |
939 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,592 |
2,578 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,768 |
1,627 |
$25K |
| 99460 |
|
242 |
239 |
$20K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
28 |
28 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
252 |
246 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
555 |
548 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
188 |
185 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
98 |
95 |
$11K |
| 59430 |
|
81 |
79 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
753 |
614 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
50 |
48 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
328 |
309 |
$5K |
| 90474 |
|
498 |
497 |
$4K |
| 99462 |
|
100 |
96 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
52 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
97 |
92 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
216 |
129 |
$3K |
| 99000 |
|
309 |
295 |
$3K |
| 99383 |
|
47 |
39 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
160 |
80 |
$2K |
| 99384 |
|
16 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
92 |
$1K |
| 90715 |
|
64 |
63 |
$643.15 |
| 90473 |
|
58 |
57 |
$539.24 |
| 20610 |
|
22 |
20 |
$454.54 |
| 99382 |
|
15 |
15 |
$303.86 |
| 87807 |
|
24 |
24 |
$283.80 |
| 90674 |
|
12 |
12 |
$270.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
59 |
26 |
$239.86 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
18 |
17 |
$44.08 |
| 81003 |
|
14 |
14 |
$24.01 |
| 90461 |
|
17 |
13 |
$6.81 |
| 96127 |
|
13 |
12 |
$3.96 |
| 96160 |
|
15 |
15 |
$2.25 |
| 90697 |
|
328 |
326 |
$1.23 |
| 90619 |
|
39 |
39 |
$0.07 |
| 90677 |
|
27 |
27 |
$0.06 |
| 90686 |
|
989 |
975 |
$0.03 |
| 90651 |
|
146 |
146 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
252 |
218 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
70 |
67 |
$0.01 |
| 90680 |
|
408 |
405 |
$0.00 |
| 90698 |
|
161 |
158 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90744 |
|
72 |
71 |
$0.00 |
| 1036F |
|
275 |
244 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
52 |
41 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90670 |
|
778 |
773 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
251 |
220 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
398 |
344 |
$0.00 |
| 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) |
128 |
113 |
$0.00 |
| 90633 |
|
202 |
201 |
$0.00 |
| 90648 |
|
40 |
40 |
$0.00 |
| 90672 |
|
78 |
77 |
$0.00 |
| 90681 |
|
44 |
44 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
217 |
199 |
$0.00 |
| 87210 |
|
13 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90734 |
|
92 |
91 |
$0.00 |
| 4004F |
|
14 |
13 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |