| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,424 |
45,731 |
$2.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,841 |
26,681 |
$1.17M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,121 |
1,918 |
$65K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,240 |
1,200 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
781 |
751 |
$55K |
| 87428 |
|
533 |
526 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
367 |
348 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
426 |
325 |
$24K |
| 99215 |
Prolong outpt/office vis |
216 |
201 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
688 |
672 |
$9K |
| 90682 |
|
97 |
93 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
386 |
190 |
$4K |
| 99307 |
|
383 |
330 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
54 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
41 |
34 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
141 |
133 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
359 |
339 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
5,704 |
5,144 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
64 |
57 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
44 |
43 |
$2K |
| 90686 |
|
282 |
245 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
303 |
185 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
343 |
186 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
29 |
$957.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
58 |
57 |
$914.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
243 |
220 |
$718.99 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
59 |
58 |
$679.46 |
| 82962 |
|
269 |
236 |
$643.12 |
| 90715 |
|
35 |
27 |
$413.25 |
| 81003 |
|
188 |
180 |
$366.89 |
| 99201 |
|
15 |
12 |
$345.44 |
| 87808 |
|
12 |
12 |
$177.96 |
| 0002A |
|
16 |
16 |
$125.60 |
| 91300 |
|
21 |
20 |
$80.00 |
| G8482 |
Influenza immunization administered or previously received |
4,022 |
3,559 |
$72.00 |
| 81002 |
|
28 |
25 |
$64.28 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$57.00 |
| 85018 |
|
13 |
13 |
$37.98 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$25.37 |
| 99441 |
|
21 |
17 |
$24.60 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12,641 |
11,450 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
14,106 |
12,653 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,469 |
5,960 |
$0.00 |
| 3017F |
|
9,178 |
8,235 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
25,373 |
22,856 |
$0.00 |
| 1036F |
|
19,414 |
17,520 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
784 |
690 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
31 |
27 |
$0.00 |
| 3060F |
|
12 |
12 |
$0.00 |
| 1101F |
|
705 |
652 |
$0.00 |
| 1123F |
|
1,408 |
1,309 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
3,160 |
2,835 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
587 |
542 |
$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) |
1,055 |
942 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
1,767 |
1,560 |
$0.00 |
| 3048F |
|
126 |
114 |
$0.00 |
| 36416 |
|
32 |
25 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
87 |
80 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
79 |
70 |
$0.00 |
| 90698 |
|
42 |
42 |
$0.00 |
| G8926 |
Spirometry test not performed or documented, reason not given |
28 |
28 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
48 |
48 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 3014F |
|
81 |
71 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
32,291 |
29,074 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15,061 |
13,532 |
$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) |
4,781 |
4,319 |
$0.00 |
| 4040F |
|
1,163 |
1,081 |
$0.00 |
| 4004F |
|
3,192 |
2,789 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
6,130 |
5,489 |
$0.00 |
| 2022F |
|
791 |
725 |
$0.00 |
| 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) |
524 |
508 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
421 |
365 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
115 |
101 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
264 |
239 |
$0.00 |
| G9225 |
Foot exam was not performed, reason not given |
582 |
530 |
$0.00 |
| 90670 |
|
70 |
68 |
$0.00 |
| 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 |
13 |
12 |
$0.00 |
| 99442 |
|
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
12 |
$0.00 |
| 3046F |
|
56 |
51 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 99051 |
|
15 |
15 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
16 |
16 |
$0.00 |