| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,475 |
3,033 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
758 |
700 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
362 |
362 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
158 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
592 |
360 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
87 |
83 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
51 |
49 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
235 |
230 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
152 |
70 |
$2K |
| 90674 |
|
73 |
72 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
135 |
132 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 97169 |
|
32 |
32 |
$867.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
342 |
327 |
$829.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$673.73 |
| 86769 |
|
26 |
12 |
$507.00 |
| 99072 |
|
136 |
132 |
$480.00 |
| 99001 |
|
37 |
36 |
$209.79 |
| 96160 |
|
207 |
201 |
$163.31 |
| 90461 |
|
16 |
12 |
$113.46 |
| 81002 |
|
43 |
39 |
$112.84 |
| 99000 |
|
14 |
13 |
$70.00 |
| 90686 |
|
145 |
145 |
$18.86 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
562 |
560 |
$0.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
376 |
343 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
544 |
483 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
414 |
374 |
$0.00 |
| 3075F |
|
202 |
188 |
$0.00 |
| 3074F |
|
765 |
697 |
$0.00 |
| 3079F |
|
237 |
223 |
$0.00 |
| 36416 |
|
13 |
12 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
113 |
95 |
$0.00 |
| 3078F |
|
649 |
600 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
410 |
370 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
77 |
71 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
442 |
386 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
151 |
136 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
422 |
375 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
279 |
234 |
$0.00 |
| 1159F |
|
39 |
33 |
$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) |
26 |
25 |
$0.00 |