| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,591 |
5,251 |
$366K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,828 |
3,242 |
$196K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,245 |
1,838 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,591 |
4,623 |
$145K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,654 |
1,419 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
880 |
802 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
576 |
476 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,208 |
1,018 |
$37K |
| 90670 |
|
1,568 |
1,266 |
$29K |
| 92551 |
|
2,856 |
2,356 |
$20K |
| D0145 |
Oral evaluation for a patient under three years of age |
595 |
479 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,238 |
600 |
$16K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
66 |
60 |
$11K |
| D1206 |
Topical application of fluoride varnish |
576 |
465 |
$11K |
| 99490 |
Ccm add 20min |
1,477 |
1,049 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
839 |
252 |
$8K |
| 99401 |
|
387 |
328 |
$7K |
| 90651 |
|
511 |
408 |
$7K |
| 90461 |
|
406 |
366 |
$7K |
| 95930 |
|
107 |
101 |
$6K |
| 90686 |
|
2,299 |
1,812 |
$5K |
| 83655 |
|
533 |
438 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
159 |
135 |
$5K |
| 99173 |
|
2,843 |
2,354 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
279 |
261 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
504 |
411 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
227 |
207 |
$3K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
977 |
620 |
$2K |
| 90647 |
|
981 |
794 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
958 |
711 |
$2K |
| 99460 |
|
31 |
26 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
19 |
19 |
$2K |
| 99384 |
|
30 |
15 |
$2K |
| 87807 |
|
94 |
81 |
$935.58 |
| 96160 |
|
541 |
430 |
$861.12 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$759.10 |
| 36415 |
Collection of venous blood by venipuncture |
202 |
157 |
$412.21 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
70 |
38 |
$407.27 |
| 82044 |
|
215 |
169 |
$348.82 |
| 82570 |
|
214 |
168 |
$342.55 |
| 90715 |
|
107 |
78 |
$264.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$232.24 |
| 96127 |
|
111 |
87 |
$191.82 |
| 99487 |
Ccm add 20min |
13 |
12 |
$152.42 |
| 96161 |
|
200 |
129 |
$143.56 |
| 3044F |
|
13 |
12 |
$80.52 |
| 97802 |
|
724 |
556 |
$77.20 |
| 90633 |
|
665 |
519 |
$52.00 |
| 4004F |
|
124 |
112 |
$50.51 |
| G0008 |
Administration of influenza virus vaccine |
120 |
102 |
$45.34 |
| 85018 |
|
28 |
25 |
$31.68 |
| 90662 |
|
62 |
60 |
$30.46 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
55 |
27 |
$24.36 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
173 |
122 |
$16.68 |
| 99483 |
Prolong outpt/office vis |
20 |
12 |
$12.31 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
20 |
12 |
$6.98 |
| 97804 |
|
1,449 |
1,245 |
$0.00 |
| 1123F |
|
59 |
51 |
$0.00 |
| 90698 |
|
14 |
13 |
$0.00 |
| 90696 |
|
76 |
64 |
$0.00 |
| 90723 |
|
413 |
335 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
118 |
92 |
$0.00 |
| 1101F |
|
20 |
12 |
$0.00 |
| 3074F |
|
16 |
13 |
$0.00 |
| 1159F |
|
574 |
458 |
$0.00 |
| 90710 |
|
344 |
267 |
$0.00 |
| 99497 |
|
51 |
24 |
$0.00 |
| 1160F |
|
140 |
126 |
$0.00 |
| 90681 |
|
488 |
378 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
90 |
79 |
$0.00 |
| 90734 |
|
232 |
180 |
$0.00 |
| 90685 |
|
196 |
182 |
$0.00 |
| 3078F |
|
21 |
16 |
$0.00 |