| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,996 |
20,224 |
$789K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,563 |
8,488 |
$411K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,410 |
4,585 |
$219K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,132 |
5,303 |
$181K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,110 |
1,704 |
$132K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,215 |
2,875 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,409 |
1,293 |
$95K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,784 |
1,453 |
$94K |
| 96160 |
|
5,312 |
3,764 |
$93K |
| 99384 |
|
1,373 |
799 |
$81K |
| 99383 |
|
1,282 |
887 |
$79K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,045 |
2,380 |
$72K |
| 99173 |
|
8,375 |
6,814 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
893 |
804 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,151 |
722 |
$64K |
| 92551 |
|
9,576 |
7,697 |
$61K |
| 96127 |
|
8,046 |
6,287 |
$47K |
| 99385 |
|
583 |
445 |
$40K |
| 99382 |
|
579 |
414 |
$35K |
| 99177 |
|
4,036 |
2,766 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,901 |
1,530 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
11,460 |
9,079 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
712 |
392 |
$23K |
| 90619 |
|
209 |
167 |
$15K |
| 90697 |
|
425 |
174 |
$13K |
| 96161 |
|
694 |
377 |
$12K |
| 85018 |
|
3,429 |
2,705 |
$10K |
| 81003 |
|
5,136 |
3,937 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
140 |
126 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
675 |
618 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
186 |
132 |
$9K |
| 97803 |
|
407 |
353 |
$7K |
| 90677 |
|
606 |
436 |
$6K |
| 81025 |
|
1,112 |
914 |
$6K |
| 97802 |
|
296 |
258 |
$6K |
| 90686 |
|
2,203 |
1,716 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
893 |
533 |
$4K |
| 90651 |
|
1,738 |
1,126 |
$4K |
| 90480 |
|
107 |
88 |
$3K |
| 90670 |
|
1,864 |
1,043 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
921 |
721 |
$3K |
| 90461 |
|
6,327 |
4,150 |
$3K |
| 81002 |
|
1,333 |
1,052 |
$3K |
| 91321 |
|
79 |
64 |
$3K |
| 99381 |
|
50 |
25 |
$2K |
| 92552 |
|
210 |
127 |
$2K |
| 82962 |
|
1,094 |
833 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
81 |
77 |
$2K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
4,241 |
3,849 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
180 |
68 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
63 |
$1K |
| 0011A |
|
38 |
30 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
25 |
$927.36 |
| 90734 |
|
559 |
252 |
$888.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
61 |
50 |
$829.59 |
| 98968 |
|
26 |
12 |
$677.30 |
| 90710 |
|
407 |
275 |
$653.77 |
| 90698 |
|
328 |
202 |
$607.49 |
| 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 |
74 |
25 |
$336.43 |
| 92558 |
|
35 |
33 |
$284.22 |
| 90633 |
|
931 |
662 |
$269.33 |
| 90656 |
|
97 |
81 |
$264.24 |
| 57410 |
|
12 |
12 |
$260.18 |
| 90680 |
|
528 |
265 |
$222.32 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
119 |
60 |
$188.41 |
| 90661 |
|
168 |
129 |
$159.45 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
90 |
28 |
$83.04 |
| 90696 |
|
87 |
62 |
$74.52 |
| 90660 |
|
64 |
55 |
$62.39 |
| 81001 |
|
20 |
12 |
$48.22 |
| 80061 |
Lipid panel |
23 |
14 |
$46.20 |
| 81000 |
|
17 |
13 |
$32.83 |
| 36416 |
|
1,497 |
1,176 |
$17.75 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
49 |
41 |
$1.48 |
| 3075F |
|
3,009 |
2,492 |
$0.02 |
| 3078F |
|
37,474 |
30,146 |
$0.02 |
| 1160F |
|
17,474 |
13,106 |
$0.02 |
| 1159F |
|
22,337 |
16,499 |
$0.02 |
| 3008F |
|
31,785 |
25,147 |
$0.00 |
| 4037F |
|
1,254 |
982 |
$0.00 |
| 1125F |
|
3,426 |
2,676 |
$0.00 |
| 3079F |
|
12,436 |
10,197 |
$0.00 |
| 3074F |
|
44,268 |
35,538 |
$0.00 |
| 1126F |
|
15,989 |
12,306 |
$0.00 |
| 1036F |
|
9,994 |
7,509 |
$0.00 |
| 2010F |
|
3,675 |
2,417 |
$0.00 |
| 4010F |
|
611 |
464 |
$0.00 |
| 3080F |
|
724 |
551 |
$0.00 |
| 99366 |
|
119 |
70 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14 |
12 |
$0.00 |
| 2001F |
|
121 |
70 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
512 |
387 |
$0.00 |
| 90744 |
|
129 |
62 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
43 |
29 |
$0.00 |
| 1034F |
|
600 |
444 |
$0.00 |
| 3351F |
|
1,300 |
988 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
168 |
103 |
$0.00 |
| 90723 |
|
115 |
75 |
$0.00 |
| 3754F |
|
91 |
41 |
$0.00 |
| G2092 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy prescribed or currently being taken |
67 |
48 |
$0.00 |
| 91301 |
|
70 |
58 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
217 |
195 |
$0.00 |
| 4008F |
|
75 |
57 |
$0.00 |
| 87807 |
|
36 |
27 |
$0.00 |
| 90716 |
|
73 |
51 |
$0.00 |
| 3011F |
|
144 |
107 |
$0.00 |
| 3352F |
|
52 |
40 |
$0.00 |
| 3048F |
|
33 |
19 |
$0.00 |
| 2000F |
|
476 |
302 |
$0.00 |
| 1005F |
|
27 |
27 |
$0.00 |
| 1170F |
|
77 |
44 |
$0.00 |
| 0513F |
|
77 |
47 |
$0.00 |
| 1000F |
|
40 |
32 |
$0.00 |
| 99000 |
|
43 |
35 |
$0.00 |
| 1030F |
|
21 |
13 |
$0.00 |
| 90620 |
|
40 |
26 |
$0.00 |
| 3044F |
|
36 |
30 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
30 |
19 |
$0.00 |
| 3725F |
|
16,048 |
12,660 |
$0.00 |
| 3210F |
|
213 |
202 |
$0.00 |
| 99188 |
|
612 |
348 |
$0.00 |
| 0521F |
|
1,664 |
1,284 |
$0.00 |
| 3077F |
|
2,756 |
2,088 |
$0.00 |
| 99080 |
|
1,593 |
1,023 |
$0.00 |
| 4013F |
|
102 |
78 |
$0.00 |
| 90672 |
|
113 |
99 |
$0.00 |
| 3028F |
|
263 |
194 |
$0.00 |
| 90648 |
|
119 |
76 |
$0.00 |
| 2014F |
|
122 |
87 |
$0.00 |
| 99401 |
|
221 |
109 |
$0.00 |
| 99499 |
|
46 |
45 |
$0.00 |
| 83655 |
|
25 |
21 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
34 |
27 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
14 |
12 |
$0.00 |
| 3511F |
|
41 |
28 |
$0.00 |
| 1494F |
|
63 |
30 |
$0.00 |
| 1158F |
|
74 |
42 |
$0.00 |
| 90707 |
|
50 |
31 |
$0.00 |
| 90715 |
|
131 |
81 |
$0.00 |
| 90658 |
|
39 |
29 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |
| 3016F |
|
37 |
30 |
$0.00 |
| 99497 |
|
48 |
26 |
$0.00 |
| 1033F |
|
22 |
15 |
$0.00 |
| 0556F |
|
21 |
13 |
$0.00 |
| 5250F |
|
27 |
27 |
$0.00 |
| 3288F |
|
64 |
31 |
$0.00 |