| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,984 |
14,846 |
$617K |
| 30140 |
|
1,531 |
1,257 |
$463K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,842 |
7,079 |
$408K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,903 |
3,588 |
$291K |
| 31231 |
|
2,187 |
1,885 |
$196K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,157 |
957 |
$167K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,098 |
1,034 |
$148K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
803 |
741 |
$97K |
| 95024 |
|
1,182 |
1,107 |
$69K |
| 70486 |
|
490 |
455 |
$59K |
| 69210 |
|
2,430 |
1,808 |
$49K |
| 95117 |
|
6,380 |
3,771 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
661 |
626 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
676 |
630 |
$33K |
| 76377 |
|
484 |
454 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
630 |
566 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
436 |
405 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,777 |
1,678 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
871 |
795 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
264 |
250 |
$20K |
| 92557 |
|
732 |
678 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
233 |
220 |
$15K |
| 92587 |
|
482 |
469 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
884 |
849 |
$12K |
| 31575 |
|
241 |
215 |
$12K |
| 92567 |
|
1,303 |
1,219 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
164 |
158 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
189 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
80 |
70 |
$8K |
| 76801 |
|
91 |
82 |
$6K |
| 92551 |
|
898 |
824 |
$6K |
| 31237 |
|
42 |
27 |
$5K |
| 42830 |
|
57 |
51 |
$5K |
| 95115 |
|
621 |
353 |
$4K |
| 99051 |
|
342 |
314 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
295 |
264 |
$3K |
| 42821 |
|
28 |
25 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
197 |
182 |
$2K |
| 99188 |
|
102 |
79 |
$2K |
| 99205 |
Prolong outpt/office vis |
17 |
13 |
$2K |
| 99173 |
|
947 |
804 |
$1K |
| 81025 |
|
258 |
236 |
$1K |
| 99381 |
|
29 |
26 |
$1K |
| 85018 |
|
695 |
528 |
$1K |
| 59430 |
|
15 |
15 |
$1K |
| 81002 |
|
519 |
468 |
$1K |
| 90474 |
|
98 |
93 |
$806.56 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
12 |
$649.88 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
14 |
$504.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
14 |
$157.56 |
| 92555 |
|
12 |
12 |
$130.10 |
| 36416 |
|
845 |
589 |
$89.16 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
222 |
200 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
473 |
433 |
$0.00 |
| 90680 |
|
215 |
201 |
$0.00 |
| 1101F |
|
13 |
12 |
$0.00 |
| 90723 |
|
42 |
36 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,193 |
1,635 |
$0.00 |
| 90686 |
|
370 |
360 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
132 |
122 |
$0.00 |
| 1036F |
|
49 |
39 |
$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) |
14 |
13 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90670 |
|
442 |
409 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
172 |
157 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
209 |
193 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
191 |
180 |
$0.00 |
| 90648 |
|
218 |
199 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
539 |
498 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90633 |
|
189 |
175 |
$0.00 |
| 90685 |
|
196 |
191 |
$0.00 |
| 90710 |
|
41 |
40 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
47 |
44 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
13 |
$0.00 |
| 4040F |
|
28 |
26 |
$0.00 |