| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,748 |
44,174 |
$3.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,891 |
23,885 |
$1.92M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,637 |
18,524 |
$679K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,099 |
4,855 |
$603K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,146 |
3,974 |
$451K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,296 |
3,116 |
$368K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,661 |
5,783 |
$326K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,068 |
2,912 |
$314K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
8,081 |
4,649 |
$235K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,986 |
8,453 |
$166K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
309 |
280 |
$103K |
| 92015 |
Determination of refractive state |
2,015 |
1,891 |
$75K |
| 96127 |
|
4,104 |
3,806 |
$74K |
| 92587 |
|
2,339 |
2,220 |
$73K |
| 92551 |
|
11,882 |
11,132 |
$68K |
| 99306 |
Prolong nursin fac eval 15m |
686 |
652 |
$60K |
| 99173 |
|
8,197 |
7,717 |
$57K |
| 99215 |
Prolong outpt/office vis |
444 |
393 |
$39K |
| 36416 |
|
10,274 |
9,721 |
$32K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,364 |
3,134 |
$28K |
| 99305 |
|
399 |
352 |
$27K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,357 |
4,811 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,164 |
1,927 |
$22K |
| 85013 |
|
7,960 |
7,477 |
$16K |
| D0145 |
Oral evaluation for a patient under three years of age |
666 |
656 |
$16K |
| 99177 |
|
970 |
917 |
$16K |
| 90674 |
|
759 |
605 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
116 |
$12K |
| 82962 |
|
9,871 |
8,423 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
218 |
209 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
207 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
77 |
66 |
$8K |
| 96161 |
|
492 |
466 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
245 |
237 |
$8K |
| 99442 |
|
290 |
215 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
760 |
336 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
302 |
272 |
$6K |
| 90756 |
|
351 |
316 |
$6K |
| 93000 |
|
843 |
749 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
57 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,266 |
1,991 |
$4K |
| 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) |
1,143 |
1,016 |
$4K |
| 99443 |
|
105 |
94 |
$4K |
| 90686 |
|
6,752 |
6,476 |
$4K |
| 87631 |
|
34 |
30 |
$3K |
| 90677 |
|
47 |
41 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
138 |
125 |
$2K |
| 90651 |
|
454 |
444 |
$2K |
| 99307 |
|
88 |
73 |
$2K |
| 99318 |
|
27 |
25 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
51 |
17 |
$2K |
| 83655 |
|
125 |
122 |
$1K |
| 0071A |
|
31 |
31 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
57 |
29 |
$1K |
| 99316 |
|
19 |
19 |
$861.41 |
| 99188 |
|
39 |
38 |
$860.56 |
| 0072A |
|
19 |
19 |
$760.00 |
| 99220 |
|
13 |
12 |
$533.82 |
| 90480 |
|
17 |
13 |
$480.00 |
| 99223 |
Prolong inpt eval add15 m |
31 |
29 |
$426.60 |
| 90620 |
|
31 |
24 |
$389.07 |
| 90734 |
|
220 |
213 |
$382.89 |
| 92283 |
|
13 |
13 |
$344.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,183 |
922 |
$339.01 |
| 99406 |
|
14 |
13 |
$141.90 |
| 90715 |
|
94 |
93 |
$134.56 |
| 90656 |
|
612 |
565 |
$134.10 |
| 87807 |
|
14 |
13 |
$134.03 |
| 90672 |
|
128 |
124 |
$126.54 |
| 90714 |
|
36 |
35 |
$80.51 |
| 90653 |
|
50 |
50 |
$60.24 |
| G0008 |
Administration of influenza virus vaccine |
173 |
166 |
$3.67 |
| 3078F |
|
9,976 |
9,109 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
12,521 |
11,372 |
$0.00 |
| 1160F |
|
9,013 |
7,944 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,485 |
4,037 |
$0.00 |
| 1159F |
|
9,011 |
7,941 |
$0.00 |
| 90670 |
|
1,583 |
1,552 |
$0.00 |
| 90648 |
|
234 |
234 |
$0.00 |
| 3077F |
|
795 |
720 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
55 |
51 |
$0.00 |
| 3725F |
|
2,504 |
2,318 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
408 |
389 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
590 |
530 |
$0.00 |
| 99072 |
|
1,169 |
1,056 |
$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) |
374 |
312 |
$0.00 |
| 90633 |
|
324 |
317 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90671 |
|
392 |
382 |
$0.00 |
| 90710 |
|
132 |
126 |
$0.00 |
| 90685 |
|
305 |
295 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 2022F |
|
30 |
24 |
$0.00 |
| 3288F |
|
13 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 1036F |
|
17,337 |
15,302 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
725 |
662 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
10,340 |
9,387 |
$0.00 |
| 3008F |
|
15,796 |
14,325 |
$0.00 |
| 3074F |
|
10,122 |
9,258 |
$0.00 |
| 90697 |
|
349 |
332 |
$0.00 |
| 3075F |
|
1,070 |
977 |
$0.00 |
| 3079F |
|
2,325 |
2,117 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,614 |
5,055 |
$0.00 |
| 3044F |
|
485 |
435 |
$0.00 |
| 3017F |
|
2,151 |
1,898 |
$0.00 |
| 90744 |
|
114 |
114 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
609 |
555 |
$0.00 |
| 90619 |
|
96 |
90 |
$0.00 |
| 3014F |
|
166 |
146 |
$0.00 |
| 3080F |
|
93 |
89 |
$0.00 |
| 91307 |
|
61 |
56 |
$0.00 |
| 90698 |
|
334 |
330 |
$0.00 |
| 3061F |
|
56 |
52 |
$0.00 |
| 1034F |
|
261 |
227 |
$0.00 |
| 90723 |
|
68 |
68 |
$0.00 |
| 90694 |
|
40 |
37 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
12 |
$0.00 |