| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
2,218 |
2,121 |
$840K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,268 |
8,833 |
$595K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,375 |
3,001 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
987 |
953 |
$85K |
| 80305 |
|
3,818 |
3,560 |
$45K |
| 82947 |
|
10,843 |
6,923 |
$38K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
429 |
390 |
$30K |
| H0001 |
Alcohol and/or drug assessment |
3,851 |
3,639 |
$27K |
| 94060 |
|
435 |
430 |
$18K |
| 93000 |
|
1,112 |
1,091 |
$13K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,444 |
1,329 |
$11K |
| 99606 |
|
1,047 |
870 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
4,679 |
4,347 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
214 |
212 |
$7K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
995 |
978 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
577 |
556 |
$7K |
| 92081 |
|
287 |
285 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
821 |
732 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
103 |
101 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
4,084 |
2,748 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
216 |
$5K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
1,029 |
996 |
$4K |
| 96116 |
|
164 |
162 |
$4K |
| 99215 |
Prolong outpt/office vis |
69 |
68 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
363 |
358 |
$4K |
| 86359 |
|
74 |
74 |
$3K |
| 90756 |
|
140 |
139 |
$3K |
| 81002 |
|
3,111 |
3,014 |
$3K |
| 90732 |
|
25 |
25 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
185 |
183 |
$2K |
| 87534 |
|
93 |
87 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
363 |
358 |
$2K |
| 3078F |
|
6,036 |
3,943 |
$2K |
| 94644 |
|
46 |
44 |
$2K |
| 3074F |
|
5,867 |
3,814 |
$2K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
391 |
387 |
$2K |
| 99407 |
|
127 |
126 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
353 |
348 |
$2K |
| 99386 |
|
94 |
92 |
$1K |
| 99385 |
|
75 |
75 |
$1K |
| 97802 |
|
732 |
722 |
$1K |
| 90688 |
|
59 |
55 |
$1K |
| 80061 |
Lipid panel |
110 |
101 |
$888.23 |
| G0008 |
Administration of influenza virus vaccine |
118 |
114 |
$338.55 |
| 99441 |
|
17 |
12 |
$333.24 |
| 36416 |
|
5,672 |
3,555 |
$308.83 |
| 99454 |
|
84 |
80 |
$290.41 |
| 1159F |
|
11,387 |
7,074 |
$290.00 |
| 81000 |
|
309 |
296 |
$274.24 |
| 99000 |
|
2,879 |
2,570 |
$242.57 |
| 99457 |
|
58 |
57 |
$226.80 |
| G0009 |
Administration of pneumococcal vaccine |
43 |
43 |
$204.79 |
| 90658 |
|
59 |
55 |
$163.65 |
| G9507 |
Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) |
890 |
681 |
$131.70 |
| 99401 |
|
278 |
269 |
$129.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$91.52 |
| G9797 |
Patient is not on a high intensity statin therapy |
2,701 |
2,118 |
$75.00 |
| 99458 |
|
14 |
14 |
$46.31 |
| 3075F |
|
183 |
151 |
$42.50 |
| 82465 |
|
64 |
56 |
$30.18 |
| 1125F |
|
3,859 |
3,564 |
$25.00 |
| 83721 |
|
65 |
57 |
$14.27 |
| 1160F |
|
1,338 |
902 |
$12.50 |
| 3079F |
|
13 |
13 |
$10.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
384 |
376 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13,291 |
8,340 |
$0.00 |
| 0518F |
|
260 |
257 |
$0.00 |
| 3725F |
|
386 |
378 |
$0.00 |
| 1003F |
|
650 |
642 |
$0.00 |
| 99408 |
|
15 |
15 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
57 |
57 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
2,107 |
1,685 |
$0.00 |
| 3014F |
|
164 |
153 |
$0.00 |
| 3044F |
|
1,416 |
1,376 |
$0.00 |
| 3017F |
|
264 |
254 |
$0.00 |
| 1170F |
|
452 |
446 |
$0.00 |