| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,542 |
11,140 |
$585K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,695 |
2,099 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,054 |
4,146 |
$156K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,270 |
1,881 |
$68K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,740 |
2,191 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,356 |
1,131 |
$27K |
| 87634 |
|
531 |
386 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,873 |
1,565 |
$22K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,942 |
1,741 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,016 |
824 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
139 |
116 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
115 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
180 |
147 |
$8K |
| 82977 |
|
1,722 |
1,479 |
$6K |
| 82150 |
|
1,722 |
1,483 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,959 |
3,439 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
176 |
65 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
145 |
141 |
$4K |
| 82310 |
|
1,739 |
1,482 |
$4K |
| 84460 |
|
1,729 |
1,481 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
56 |
$4K |
| 84450 |
|
1,739 |
1,483 |
$4K |
| 82565 |
|
1,738 |
1,479 |
$4K |
| 84075 |
|
1,735 |
1,480 |
$4K |
| 84550 |
|
1,718 |
1,478 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
60 |
$4K |
| 82040 |
|
1,737 |
1,481 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
82 |
61 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
264 |
126 |
$3K |
| 80061 |
Lipid panel |
784 |
666 |
$3K |
| 82947 |
|
1,737 |
1,479 |
$3K |
| 84520 |
|
1,735 |
1,480 |
$3K |
| 99401 |
|
314 |
247 |
$3K |
| 82247 |
|
1,733 |
1,481 |
$3K |
| 84155 |
|
1,734 |
1,481 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
212 |
193 |
$2K |
| 92551 |
|
302 |
258 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
25 |
$2K |
| 81003 |
|
1,115 |
840 |
$1K |
| 96160 |
|
1,683 |
656 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,128 |
881 |
$1K |
| 96127 |
|
1,807 |
1,497 |
$1K |
| 90686 |
|
505 |
424 |
$1K |
| 99499 |
|
88 |
76 |
$929.00 |
| 80053 |
Comprehensive metabolic panel |
159 |
148 |
$866.29 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
26 |
12 |
$838.20 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$763.80 |
| 20610 |
|
42 |
24 |
$746.62 |
| 90651 |
|
92 |
78 |
$681.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
60 |
$662.22 |
| 90621 |
|
35 |
27 |
$648.10 |
| 90682 |
|
45 |
40 |
$544.82 |
| 86328 |
|
33 |
13 |
$497.53 |
| 3074F |
|
2,198 |
1,914 |
$467.42 |
| 90473 |
|
42 |
42 |
$438.06 |
| 99173 |
|
404 |
332 |
$437.60 |
| 87807 |
|
29 |
24 |
$350.07 |
| 90674 |
|
29 |
25 |
$337.56 |
| 90756 |
|
44 |
39 |
$333.07 |
| 3078F |
|
1,941 |
1,664 |
$317.43 |
| 3079F |
|
878 |
766 |
$260.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$256.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54 |
50 |
$210.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
25 |
$160.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
21 |
17 |
$158.22 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
12 |
$149.10 |
| 90734 |
|
73 |
55 |
$143.43 |
| 0513F |
|
144 |
130 |
$100.00 |
| 3075F |
|
474 |
385 |
$95.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
106 |
67 |
$65.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
26 |
$46.27 |
| 3077F |
|
172 |
143 |
$45.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,463 |
1,123 |
$31.86 |
| 3080F |
|
128 |
108 |
$30.00 |
| 90672 |
|
118 |
99 |
$26.88 |
| 94760 |
|
158 |
117 |
$23.40 |
| 96161 |
|
17 |
12 |
$20.00 |
| 99356 |
|
13 |
12 |
$3.53 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
1,620 |
1,313 |
$0.00 |
| 1031F |
|
3,417 |
2,577 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
9,044 |
6,456 |
$0.00 |
| 1030F |
|
3,671 |
2,575 |
$0.00 |
| 2000F |
|
6,507 |
5,368 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
297 |
257 |
$0.00 |
| 2001F |
|
7,298 |
5,948 |
$0.00 |
| 3017F |
|
606 |
460 |
$0.00 |
| 3008F |
|
12,718 |
10,062 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,801 |
2,131 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,247 |
833 |
$0.00 |
| 1126F |
|
1,417 |
1,252 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
156 |
123 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
53 |
40 |
$0.00 |
| 1125F |
|
599 |
531 |
$0.00 |
| 3044F |
|
243 |
229 |
$0.00 |
| 1000F |
|
155 |
128 |
$0.00 |
| 1036F |
|
1,746 |
1,317 |
$0.00 |
| 1111F |
|
345 |
312 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
106 |
92 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
822 |
668 |
$0.00 |
| 1123F |
|
13 |
12 |
$0.00 |
| 99000 |
|
22 |
16 |
$0.00 |
| 2010F |
|
16 |
15 |
$0.00 |
| 3048F |
|
29 |
26 |
$0.00 |
| 1101F |
|
18 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,790 |
5,365 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
7,003 |
5,232 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
2,304 |
1,850 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,634 |
2,015 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,121 |
1,720 |
$0.00 |
| G8442 |
Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter |
922 |
765 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
579 |
402 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,035 |
757 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
5,940 |
4,775 |
$0.00 |
| 1033F |
|
4,817 |
3,583 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
810 |
615 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
65 |
53 |
$0.00 |
| 1160F |
|
7,644 |
5,705 |
$0.00 |
| 1159F |
|
4,784 |
3,909 |
$0.00 |
| 3725F |
|
607 |
432 |
$0.00 |
| 3016F |
|
3,827 |
2,865 |
$0.00 |
| 4004F |
|
1,683 |
1,226 |
$0.00 |
| 1124F |
|
1,001 |
751 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,357 |
1,044 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
396 |
268 |
$0.00 |
| 3288F |
|
265 |
208 |
$0.00 |
| 4040F |
|
278 |
236 |
$0.00 |
| 90670 |
|
27 |
26 |
$0.00 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
14 |
12 |
$0.00 |
| 3085F |
|
174 |
141 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
37 |
27 |
$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) |
32 |
14 |
$0.00 |
| 1100F |
|
91 |
79 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
16 |
13 |
$0.00 |
| 90633 |
|
16 |
13 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
47 |
31 |
$0.00 |