| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,057 |
10,002 |
$116K |
| 0001A |
|
3,489 |
3,404 |
$114K |
| 0002A |
|
3,043 |
3,002 |
$112K |
| 0004A |
|
2,381 |
2,336 |
$91K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,836 |
4,825 |
$68K |
| 0064A |
|
1,356 |
1,345 |
$54K |
| 0071A |
|
1,208 |
1,201 |
$47K |
| 0072A |
|
1,014 |
1,011 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122,831 |
103,710 |
$35K |
| 90670 |
|
1,692 |
1,491 |
$33K |
| 90649 |
|
2,112 |
1,782 |
$22K |
| 96160 |
|
5,691 |
5,268 |
$21K |
| 90734 |
|
1,661 |
1,421 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,874 |
3,495 |
$14K |
| 0124A |
|
414 |
387 |
$14K |
| 90677 |
|
334 |
194 |
$11K |
| 0003A |
|
331 |
331 |
$10K |
| 90716 |
|
1,438 |
1,225 |
$10K |
| 90654 |
|
1,875 |
1,671 |
$9K |
| 90621 |
|
937 |
803 |
$9K |
| 99441 |
|
35,657 |
30,457 |
$8K |
| 0134A |
|
162 |
149 |
$6K |
| 90707 |
|
1,325 |
1,139 |
$6K |
| 90715 |
|
1,006 |
811 |
$6K |
| 90697 |
|
615 |
485 |
$5K |
| 0031A |
|
111 |
111 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,668 |
6,659 |
$3K |
| 91322 |
|
34 |
34 |
$3K |
| 90656 |
|
2,754 |
2,442 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
1,340 |
1,321 |
$3K |
| 97802 |
|
14,047 |
13,151 |
$2K |
| 90633 |
|
1,072 |
864 |
$2K |
| 97803 |
|
317 |
302 |
$2K |
| 0013A |
|
55 |
55 |
$2K |
| 90680 |
|
664 |
582 |
$2K |
| 90648 |
|
776 |
682 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,560 |
6,634 |
$2K |
| 90480 |
|
62 |
59 |
$2K |
| 91307 |
|
441 |
428 |
$1K |
| 90700 |
|
529 |
467 |
$1K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
14,019 |
13,140 |
$1K |
| 90696 |
|
385 |
346 |
$967.45 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
6,129 |
5,632 |
$924.12 |
| 0012A |
|
28 |
27 |
$920.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
404 |
372 |
$877.62 |
| 99442 |
|
5,923 |
5,142 |
$864.21 |
| 0011A |
|
19 |
19 |
$760.00 |
| 99443 |
|
852 |
797 |
$734.13 |
| 0034A |
|
17 |
13 |
$600.00 |
| 0073A |
|
12 |
12 |
$480.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,255 |
2,198 |
$377.07 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,532 |
2,108 |
$373.74 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
32 |
$255.60 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,998 |
3,610 |
$254.18 |
| 90698 |
|
113 |
104 |
$237.02 |
| 90714 |
|
144 |
133 |
$209.00 |
| 90723 |
|
256 |
241 |
$198.02 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
679 |
611 |
$150.28 |
| 96127 |
|
26,162 |
23,545 |
$113.02 |
| 90461 |
|
16 |
12 |
$106.15 |
| 90473 |
|
25 |
15 |
$81.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,206 |
5,880 |
$72.09 |
| 92552 |
|
89 |
71 |
$55.24 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,514 |
3,128 |
$53.14 |
| 91312 |
|
376 |
352 |
$40.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,210 |
2,000 |
$23.85 |
| 90744 |
|
63 |
60 |
$16.00 |
| 99173 |
|
5,602 |
5,307 |
$4.80 |
| 90746 |
|
31 |
31 |
$4.01 |
| 90657 |
|
68 |
66 |
$4.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,638 |
2,330 |
$0.15 |
| 99385 |
|
215 |
155 |
$0.03 |
| 99381 |
|
36 |
28 |
$0.02 |
| 3017F |
|
6,447 |
5,424 |
$0.01 |
| 4010F |
|
6,625 |
5,248 |
$0.01 |
| 99386 |
|
119 |
80 |
$0.01 |
| 4013F |
|
6,369 |
4,982 |
$0.01 |
| 4124F |
|
2,391 |
2,097 |
$0.01 |
| 3008F |
|
44,841 |
35,932 |
$0.00 |
| 1036F |
|
26,781 |
23,337 |
$0.00 |
| 3079F |
|
20,269 |
16,974 |
$0.00 |
| 92551 |
|
2,046 |
1,957 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
669 |
619 |
$0.00 |
| 1055F |
|
5,326 |
4,291 |
$0.00 |
| 1157F |
|
13,818 |
11,379 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26,048 |
22,412 |
$0.00 |
| 1030F |
|
17,078 |
14,414 |
$0.00 |
| 1125F |
|
15,238 |
12,910 |
$0.00 |
| 3074F |
|
51,812 |
44,022 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
21,911 |
18,754 |
$0.00 |
| 1000F |
|
22,141 |
17,738 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
8,625 |
7,571 |
$0.00 |
| 3075F |
|
12,273 |
10,518 |
$0.00 |
| 3061F |
|
1,547 |
1,154 |
$0.00 |
| 3044F |
|
1,681 |
1,237 |
$0.00 |
| G9806 |
Patients who received cervical cytology or an hpv test |
444 |
352 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
23,336 |
20,144 |
$0.00 |
| 1126F |
|
1,217 |
813 |
$0.00 |
| 3014F |
|
3,726 |
3,117 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,629 |
1,583 |
$0.00 |
| 3048F |
|
3,606 |
2,852 |
$0.00 |
| 3049F |
|
1,479 |
1,075 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
436 |
425 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
633 |
605 |
$0.00 |
| 1170F |
|
2,638 |
1,871 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
452 |
398 |
$0.00 |
| 90651 |
|
117 |
66 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
689 |
527 |
$0.00 |
| 99368 |
|
542 |
540 |
$0.00 |
| 3080F |
|
337 |
255 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 1034F |
|
382 |
284 |
$0.00 |
| 4140F |
|
354 |
264 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
639 |
485 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
126 |
101 |
$0.00 |
| 1022F |
|
625 |
359 |
$0.00 |
| 4037F |
|
176 |
133 |
$0.00 |
| 4086F |
|
439 |
340 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,475 |
811 |
$0.00 |
| 3066F |
|
31 |
31 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
170 |
132 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
160 |
110 |
$0.00 |
| 4000F |
|
280 |
210 |
$0.00 |
| 3072F |
|
42 |
41 |
$0.00 |
| 87428 |
|
112 |
109 |
$0.00 |
| 99384 |
|
35 |
28 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
28 |
$0.00 |
| 93000 |
|
79 |
72 |
$0.00 |
| 1111F |
|
19 |
19 |
$0.00 |
| 3060F |
|
33 |
19 |
$0.00 |
| 91303 |
|
15 |
15 |
$0.00 |
| 1033F |
|
14,398 |
11,333 |
$0.00 |
| 1158F |
|
14,877 |
12,906 |
$0.00 |
| 3078F |
|
45,549 |
39,133 |
$0.00 |
| 1039F |
|
429 |
303 |
$0.00 |
| 4025F |
|
970 |
741 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
39,003 |
33,744 |
$0.00 |
| 4035F |
|
19,021 |
15,971 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
762 |
717 |
$0.00 |
| 3725F |
|
21,742 |
18,060 |
$0.00 |
| 0521F |
|
10,973 |
9,499 |
$0.00 |
| 1159F |
|
15,278 |
12,196 |
$0.00 |
| 3077F |
|
3,788 |
3,170 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
256 |
183 |
$0.00 |
| 3050F |
|
916 |
769 |
$0.00 |
| 2028F |
|
2,079 |
1,778 |
$0.00 |
| 1090F |
|
313 |
232 |
$0.00 |
| 2022F |
|
240 |
223 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,870 |
2,545 |
$0.00 |
| 1160F |
|
4,933 |
3,995 |
$0.00 |
| 3015F |
|
1,682 |
1,378 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
5,508 |
3,996 |
$0.00 |
| 4004F |
|
9,310 |
7,386 |
$0.00 |
| 2014F |
|
924 |
666 |
$0.00 |
| 4158F |
|
246 |
193 |
$0.00 |
| 99201 |
|
189 |
150 |
$0.00 |
| 0518F |
|
35 |
31 |
$0.00 |
| 99348 |
|
18 |
15 |
$0.00 |
| 91300 |
|
196 |
194 |
$0.00 |
| 2027F |
|
16 |
16 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
32 |
29 |
$0.00 |
| 3288F |
|
225 |
158 |
$0.00 |
| 99408 |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
95 |
65 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
40 |
38 |
$0.00 |
| 90623 |
|
67 |
38 |
$0.00 |
| 91313 |
|
160 |
148 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
22 |
16 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
398 |
211 |
$0.00 |
| 3046F |
|
59 |
56 |
$0.00 |
| G9904 |
Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) |
16 |
16 |
$0.00 |