| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,459 |
9,551 |
$545K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,057 |
9,725 |
$411K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,848 |
1,745 |
$167K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,654 |
1,586 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
971 |
927 |
$78K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,319 |
2,790 |
$64K |
| 99000 |
|
7,213 |
5,882 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,696 |
2,199 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
662 |
639 |
$58K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,052 |
978 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,020 |
2,691 |
$34K |
| 36410 |
|
2,420 |
2,266 |
$29K |
| 97802 |
|
4,743 |
4,450 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,210 |
1,672 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
166 |
165 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,179 |
935 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
110 |
95 |
$8K |
| 90461 |
|
1,457 |
1,135 |
$6K |
| 87420 |
|
534 |
483 |
$5K |
| 81000 |
|
1,650 |
1,526 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,938 |
1,519 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
448 |
359 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
43 |
$3K |
| 81002 |
|
1,474 |
1,107 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
184 |
176 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
78 |
77 |
$1K |
| 97169 |
|
20 |
19 |
$600.00 |
| 84703 |
|
32 |
32 |
$189.89 |
| 90674 |
|
17 |
17 |
$55.16 |
| 90686 |
|
1,582 |
1,539 |
$0.36 |
| 90677 |
|
59 |
50 |
$0.17 |
| 90621 |
|
341 |
319 |
$0.09 |
| 90734 |
|
599 |
560 |
$0.07 |
| 90651 |
|
667 |
628 |
$0.06 |
| 36415 |
Collection of venous blood by venipuncture |
2,194 |
1,687 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
154 |
100 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,558 |
3,334 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
32 |
32 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
55 |
25 |
$0.00 |
| 90680 |
|
55 |
54 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
117 |
64 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
533 |
342 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
652 |
404 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,936 |
1,589 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
135 |
102 |
$0.00 |
| 90648 |
|
103 |
103 |
$0.00 |
| 90633 |
|
298 |
278 |
$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) |
882 |
780 |
$0.00 |
| 90670 |
|
279 |
276 |
$0.00 |
| 90710 |
|
119 |
119 |
$0.00 |
| 90715 |
|
169 |
160 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
5,242 |
4,273 |
$0.00 |