| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,488 |
12,191 |
$507K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,893 |
4,497 |
$250K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,191 |
2,075 |
$148K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,788 |
1,714 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,367 |
1,289 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,307 |
4,890 |
$70K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,732 |
2,579 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
583 |
544 |
$32K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,209 |
909 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
515 |
397 |
$28K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,128 |
1,957 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
291 |
254 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
937 |
808 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
781 |
569 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
271 |
256 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
493 |
439 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
689 |
587 |
$4K |
| 92551 |
|
529 |
511 |
$4K |
| 0001A |
|
123 |
89 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
164 |
158 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
65 |
$4K |
| 0002A |
|
95 |
82 |
$4K |
| 93000 |
|
239 |
227 |
$3K |
| 0071A |
|
69 |
45 |
$2K |
| 90686 |
|
2,114 |
1,969 |
$2K |
| 99305 |
|
78 |
72 |
$1K |
| 99173 |
|
1,030 |
967 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
64 |
38 |
$1K |
| 87807 |
|
139 |
106 |
$1K |
| 81003 |
|
709 |
610 |
$1K |
| 0072A |
|
18 |
16 |
$794.12 |
| 90473 |
|
65 |
64 |
$667.52 |
| 90620 |
|
49 |
41 |
$376.00 |
| 90677 |
|
116 |
97 |
$288.66 |
| 90656 |
|
121 |
108 |
$250.61 |
| 90651 |
|
311 |
285 |
$0.01 |
| 91300 |
|
243 |
209 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,350 |
1,101 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
290 |
245 |
$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) |
96 |
73 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
391 |
326 |
$0.00 |
| 90670 |
|
446 |
423 |
$0.00 |
| 90734 |
|
198 |
184 |
$0.00 |
| 90633 |
|
178 |
164 |
$0.00 |
| 90648 |
|
289 |
273 |
$0.00 |
| 3078F |
|
803 |
710 |
$0.00 |
| 90710 |
|
72 |
64 |
$0.00 |
| 90685 |
|
51 |
49 |
$0.00 |
| 90715 |
|
30 |
29 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
50 |
48 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
139 |
118 |
$0.00 |
| 90700 |
|
41 |
39 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
50 |
22 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,737 |
1,260 |
$0.00 |
| 90619 |
|
128 |
115 |
$0.00 |
| 3074F |
|
1,054 |
929 |
$0.00 |
| 1126F |
|
66 |
52 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
178 |
144 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
100 |
81 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
294 |
247 |
$0.00 |
| 90680 |
|
66 |
64 |
$0.00 |
| 3079F |
|
94 |
88 |
$0.00 |
| 91301 |
|
28 |
24 |
$0.00 |
| 1170F |
|
115 |
79 |
$0.00 |
| 91307 |
|
82 |
58 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
116 |
89 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
41 |
37 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 1125F |
|
35 |
18 |
$0.00 |