| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,081 |
6,746 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,398 |
4,776 |
$204K |
| 99091 |
|
247 |
241 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
555 |
513 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,691 |
4,871 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,947 |
894 |
$24K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
95 |
13 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
316 |
307 |
$21K |
| 80305 |
|
1,588 |
1,524 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
397 |
285 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
968 |
804 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,902 |
1,813 |
$9K |
| 92552 |
|
434 |
414 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
658 |
571 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
71 |
$5K |
| 81002 |
|
2,549 |
2,412 |
$5K |
| 82044 |
|
1,483 |
1,415 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
362 |
300 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
12 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
303 |
297 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
44 |
$2K |
| 82948 |
|
2,667 |
2,353 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
34 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
218 |
115 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
65 |
$1K |
| 90686 |
|
438 |
409 |
$1K |
| 93000 |
|
71 |
71 |
$651.83 |
| 99457 |
|
332 |
310 |
$475.92 |
| 93922 |
|
97 |
91 |
$456.54 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,648 |
1,321 |
$389.55 |
| 99454 |
|
196 |
167 |
$389.42 |
| 92499 |
|
152 |
138 |
$384.00 |
| 99407 |
|
13 |
12 |
$152.74 |
| 90661 |
|
12 |
12 |
$104.43 |
| 3044F |
|
492 |
472 |
$80.00 |
| 1159F |
|
2,878 |
2,453 |
$52.98 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
486 |
454 |
$32.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
44 |
42 |
$17.41 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
382 |
355 |
$12.22 |
| 3078F |
|
5,086 |
4,035 |
$9.45 |
| 90734 |
|
75 |
69 |
$0.07 |
| 90656 |
|
13 |
13 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
19 |
16 |
$0.01 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
40 |
40 |
$0.00 |
| 3079F |
|
1,395 |
1,247 |
$0.00 |
| 3074F |
|
5,115 |
4,044 |
$0.00 |
| 3008F |
|
6,108 |
4,991 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
49 |
48 |
$0.00 |
| 36416 |
|
705 |
630 |
$0.00 |
| 3075F |
|
807 |
740 |
$0.00 |
| 99406 |
|
14 |
13 |
$0.00 |
| 1125F |
|
16 |
13 |
$0.00 |
| 1036F |
|
84 |
81 |
$0.00 |
| 1101F |
|
15 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
60 |
59 |
$0.00 |
| 3080F |
|
102 |
97 |
$0.00 |
| 91200 |
|
12 |
12 |
$0.00 |
| 2028F |
|
54 |
53 |
$0.00 |
| 99453 |
|
16 |
13 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
594 |
524 |
$0.00 |
| 1160F |
|
719 |
625 |
$0.00 |
| 3077F |
|
649 |
602 |
$0.00 |
| 99401 |
|
297 |
292 |
$0.00 |
| 90710 |
|
19 |
17 |
$0.00 |
| 3288F |
|
29 |
24 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |