| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,995 |
22,640 |
$2.32M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,712 |
12,129 |
$724K |
| 99442 |
|
5,397 |
4,861 |
$350K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,610 |
2,600 |
$329K |
| 99443 |
|
2,272 |
2,164 |
$202K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,233 |
1,232 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,145 |
1,058 |
$140K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,474 |
5,461 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,425 |
3,338 |
$54K |
| 90756 |
|
1,909 |
1,906 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,606 |
2,342 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
438 |
435 |
$49K |
| 83013 |
|
1,021 |
1,018 |
$44K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,121 |
3,121 |
$44K |
| 93000 |
|
3,682 |
3,672 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
286 |
285 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
186 |
186 |
$20K |
| 86769 |
|
824 |
412 |
$18K |
| 0013A |
|
250 |
250 |
$10K |
| 94010 |
|
296 |
295 |
$8K |
| 90686 |
|
1,317 |
1,316 |
$7K |
| 92551 |
|
754 |
745 |
$6K |
| 81001 |
|
3,291 |
3,253 |
$5K |
| 83014 |
|
819 |
818 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
5,170 |
5,156 |
$4K |
| 90674 |
|
133 |
133 |
$4K |
| 36410 |
|
624 |
611 |
$4K |
| 90688 |
|
190 |
190 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
47 |
$3K |
| 0011A |
|
80 |
80 |
$3K |
| 0012A |
|
74 |
74 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
73 |
72 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
30 |
30 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
47 |
44 |
$2K |
| 90746 |
|
24 |
24 |
$2K |
| 80061 |
Lipid panel |
237 |
234 |
$2K |
| 86580 |
|
211 |
195 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
194 |
191 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
80 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 90651 |
|
42 |
42 |
$1K |
| 99173 |
|
543 |
536 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
52 |
51 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
3,441 |
3,435 |
$894.36 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28 |
27 |
$794.55 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
33 |
32 |
$751.08 |
| 0072A |
|
20 |
20 |
$736.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
197 |
196 |
$678.18 |
| 96127 |
|
210 |
210 |
$631.47 |
| 99051 |
|
86 |
73 |
$601.62 |
| 80053 |
Comprehensive metabolic panel |
70 |
67 |
$480.20 |
| 84443 |
Thyroid stimulating hormone (TSH) |
57 |
56 |
$447.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$435.55 |
| 86708 |
|
53 |
52 |
$426.65 |
| 86704 |
|
50 |
49 |
$392.00 |
| 82274 |
|
43 |
43 |
$388.68 |
| 86706 |
|
54 |
53 |
$376.92 |
| 81003 |
|
384 |
378 |
$375.78 |
| 86709 |
|
51 |
50 |
$373.32 |
| 87340 |
|
54 |
53 |
$362.88 |
| 83540 |
|
71 |
68 |
$298.20 |
| 83615 |
|
71 |
68 |
$279.03 |
| 84481 |
|
24 |
23 |
$264.24 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
69 |
66 |
$262.60 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
24 |
$246.66 |
| 84432 |
|
23 |
22 |
$240.12 |
| 88142 |
|
45 |
45 |
$225.87 |
| 84100 |
|
71 |
68 |
$218.68 |
| 84550 |
|
72 |
69 |
$211.68 |
| 84439 |
|
30 |
30 |
$175.80 |
| 81000 |
|
65 |
63 |
$172.26 |
| 99406 |
|
139 |
138 |
$156.71 |
| 84480 |
|
23 |
22 |
$138.30 |
| 84436 |
|
23 |
22 |
$102.58 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
162 |
161 |
$90.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$64.13 |
| 83721 |
|
74 |
70 |
$61.38 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,360 |
3,355 |
$40.00 |
| 99000 |
|
8,745 |
7,965 |
$24.56 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,590 |
3,570 |
$24.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,907 |
2,899 |
$24.00 |
| S0612 |
Annual gynecological examination, established patient |
48 |
48 |
$20.00 |
| 3049F |
|
12 |
12 |
$18.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
792 |
787 |
$12.00 |
| 90461 |
|
95 |
91 |
$11.46 |
| 91301 |
|
185 |
185 |
$7.33 |
| 3008F |
|
181 |
181 |
$0.43 |
| 3725F |
|
369 |
367 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
160 |
159 |
$0.00 |
| 3016F |
|
161 |
161 |
$0.00 |
| 82465 |
|
47 |
47 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
55 |
51 |
$0.00 |
| 90672 |
|
31 |
31 |
$0.00 |
| 83718 |
|
47 |
47 |
$0.00 |
| 4293F |
|
249 |
248 |
$0.00 |
| 1000F |
|
326 |
323 |
$0.00 |
| 1036F |
|
262 |
259 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
494 |
491 |
$0.00 |
| 84478 |
|
47 |
47 |
$0.00 |
| 91307 |
|
27 |
24 |
$0.00 |