| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,267 |
17,969 |
$931K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,337 |
17,766 |
$667K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,950 |
1,882 |
$164K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,263 |
3,129 |
$140K |
| 99173 |
|
2,956 |
2,907 |
$103K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,230 |
3,087 |
$88K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,931 |
1,918 |
$56K |
| 99490 |
Ccm add 20min |
3,214 |
2,888 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,551 |
2,451 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
586 |
581 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
445 |
439 |
$32K |
| 99215 |
Prolong outpt/office vis |
420 |
399 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
300 |
292 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
314 |
304 |
$27K |
| 80306 |
|
1,744 |
1,683 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,258 |
1,205 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
249 |
248 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
561 |
541 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
245 |
241 |
$16K |
| 99442 |
|
341 |
315 |
$16K |
| 87430 |
|
1,019 |
984 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
981 |
891 |
$15K |
| 90461 |
|
521 |
497 |
$14K |
| 99205 |
Prolong outpt/office vis |
92 |
85 |
$11K |
| 90688 |
|
767 |
713 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
235 |
213 |
$8K |
| 90686 |
|
496 |
469 |
$7K |
| 90674 |
|
300 |
289 |
$7K |
| 80305 |
|
565 |
543 |
$6K |
| 90633 |
|
340 |
333 |
$4K |
| D1206 |
Topical application of fluoride varnish |
288 |
287 |
$4K |
| 90656 |
|
612 |
607 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,646 |
2,575 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,638 |
2,567 |
$3K |
| 80061 |
Lipid panel |
225 |
218 |
$3K |
| 99407 |
|
78 |
73 |
$3K |
| 99406 |
|
321 |
299 |
$3K |
| 90677 |
|
13 |
13 |
$2K |
| 81003 |
|
1,957 |
1,842 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
36 |
$2K |
| 90621 |
|
116 |
115 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
4,005 |
3,527 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$2K |
| 84703 |
|
196 |
189 |
$1K |
| 87807 |
|
94 |
85 |
$1K |
| 99383 |
|
13 |
12 |
$854.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
98 |
94 |
$832.08 |
| 99188 |
|
56 |
55 |
$778.87 |
| 90649 |
|
61 |
61 |
$736.00 |
| 90734 |
|
42 |
42 |
$653.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$622.75 |
| 87634 |
|
15 |
13 |
$518.39 |
| 90651 |
|
43 |
43 |
$382.40 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$48.77 |
| 3008F |
|
7,226 |
6,980 |
$39.73 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
382 |
360 |
$32.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
334 |
318 |
$32.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
17 |
$25.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
16 |
13 |
$2.50 |
| 1126F |
|
686 |
653 |
$0.99 |
| 3074F |
|
720 |
691 |
$0.94 |
| 1170F |
|
412 |
395 |
$0.69 |
| 3078F |
|
532 |
510 |
$0.59 |
| 90756 |
|
16 |
16 |
$0.46 |
| 3079F |
|
187 |
181 |
$0.24 |
| 3075F |
|
48 |
46 |
$0.06 |
| 1159F |
|
530 |
512 |
$0.06 |
| 1160F |
|
566 |
547 |
$0.06 |
| 3080F |
|
17 |
16 |
$0.04 |
| 3077F |
|
21 |
19 |
$0.04 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
457 |
378 |
$0.02 |
| 1125F |
|
16 |
16 |
$0.01 |
| G0008 |
Administration of influenza virus vaccine |
61 |
57 |
$0.00 |
| 1036F |
|
347 |
322 |
$0.00 |
| 1101F |
|
84 |
80 |
$0.00 |
| 90620 |
|
13 |
13 |
$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) |
1,985 |
1,895 |
$0.00 |
| 3288F |
|
85 |
81 |
$0.00 |
| 2014F |
|
1,141 |
1,125 |
$0.00 |
| 4004F |
|
16 |
15 |
$0.00 |
| 99051 |
|
17 |
15 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |