| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,499 |
34,438 |
$1.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,075 |
18,493 |
$829K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,432 |
2,281 |
$157K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
8,858 |
6,642 |
$62K |
| 80053 |
Comprehensive metabolic panel |
11,126 |
9,893 |
$54K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,128 |
1,092 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
628 |
606 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
684 |
591 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,616 |
12,562 |
$43K |
| 81025 |
|
5,023 |
4,466 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
426 |
398 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,528 |
2,255 |
$26K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
980 |
815 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
8,275 |
7,127 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
2,579 |
1,742 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,847 |
1,890 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
295 |
256 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,217 |
6,399 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
866 |
789 |
$14K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,863 |
1,483 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
537 |
485 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,747 |
1,452 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
99 |
$10K |
| 80305 |
|
1,856 |
1,648 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,268 |
2,681 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,535 |
1,154 |
$6K |
| 72100 |
|
439 |
348 |
$5K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,465 |
1,165 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
595 |
566 |
$5K |
| 82607 |
|
2,473 |
2,015 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,157 |
921 |
$5K |
| 80061 |
Lipid panel |
3,278 |
2,686 |
$4K |
| 82746 |
|
2,388 |
1,953 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,031 |
1,445 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,278 |
1,092 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
56 |
$4K |
| 82728 |
|
2,400 |
1,956 |
$4K |
| 83550 |
|
2,405 |
1,979 |
$3K |
| 0001A |
|
50 |
48 |
$2K |
| 73562 |
|
175 |
119 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,386 |
1,196 |
$2K |
| 0011A |
|
45 |
43 |
$2K |
| 82248 |
|
2,230 |
1,993 |
$2K |
| 0002A |
|
28 |
28 |
$1K |
| 3008F |
|
21,774 |
16,997 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 84436 |
|
1,133 |
942 |
$841.31 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
25 |
$644.92 |
| 93000 |
|
53 |
45 |
$616.07 |
| H0049 |
Alcohol and/or drug screening |
39 |
38 |
$600.59 |
| 84479 |
|
898 |
749 |
$566.61 |
| 81003 |
|
940 |
866 |
$483.54 |
| 90686 |
|
58 |
57 |
$467.76 |
| 73030 |
|
51 |
38 |
$435.53 |
| 87210 |
|
220 |
195 |
$364.39 |
| 86769 |
|
67 |
64 |
$307.86 |
| 86318 |
|
37 |
37 |
$288.72 |
| 83721 |
|
202 |
194 |
$198.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
46 |
37 |
$180.79 |
| 73630 |
|
24 |
13 |
$159.40 |
| 83874 |
|
13 |
12 |
$104.37 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
39 |
$100.00 |
| 96160 |
|
236 |
229 |
$75.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
68 |
60 |
$56.19 |
| 80076 |
|
34 |
26 |
$24.40 |
| 81002 |
|
46 |
39 |
$20.95 |
| 90688 |
|
14 |
14 |
$15.26 |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,376 |
1,252 |
$9.31 |
| 3074F |
|
11,509 |
9,331 |
$0.24 |
| S9451 |
Exercise classes, non-physician provider, per session |
999 |
850 |
$0.14 |
| 3075F |
|
2,580 |
2,287 |
$0.05 |
| 3044F |
|
4,533 |
3,765 |
$0.02 |
| 1111F |
|
135 |
122 |
$0.01 |
| 3079F |
|
6,404 |
5,212 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
385 |
316 |
$0.00 |
| 3049F |
|
100 |
67 |
$0.00 |
| 2010F |
|
1,272 |
1,089 |
$0.00 |
| 1034F |
|
1,003 |
708 |
$0.00 |
| 1170F |
|
79 |
67 |
$0.00 |
| 1125F |
|
65 |
56 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
270 |
226 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
357 |
308 |
$0.00 |
| 1126F |
|
97 |
79 |
$0.00 |
| 1036F |
|
29 |
23 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
49 |
45 |
$0.00 |
| 3048F |
|
151 |
122 |
$0.00 |
| 3080F |
|
671 |
561 |
$0.00 |
| 96127 |
|
42 |
39 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
707 |
609 |
$0.00 |
| 3078F |
|
8,931 |
7,179 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
908 |
758 |
$0.00 |
| 1159F |
|
1,583 |
1,315 |
$0.00 |
| 3028F |
|
898 |
751 |
$0.00 |
| 3077F |
|
408 |
347 |
$0.00 |
| G9920 |
Screening performed and negative |
46 |
45 |
$0.00 |
| 3016F |
|
814 |
681 |
$0.00 |
| 1033F |
|
1,416 |
1,102 |
$0.00 |
| 1160F |
|
1,589 |
1,319 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
134 |
115 |
$0.00 |
| 3050F |
|
35 |
18 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
23 |
15 |
$0.00 |
| 4013F |
|
15 |
12 |
$0.00 |