| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,700 |
8,222 |
$625K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,822 |
4,839 |
$298K |
| 87428 |
|
435 |
377 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
106 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
594 |
498 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
53 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,115 |
936 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
164 |
148 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
123 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
86 |
85 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,254 |
1,888 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
367 |
337 |
$424.58 |
| 87807 |
|
36 |
31 |
$407.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
518 |
456 |
$394.26 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$138.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
210 |
193 |
$75.20 |
| 99406 |
|
647 |
558 |
$20.68 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,751 |
3,231 |
$0.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
927 |
791 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
364 |
319 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
81 |
68 |
$0.00 |
| 1036F |
|
2,058 |
1,619 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
119 |
112 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
223 |
197 |
$0.00 |
| 3008F |
|
506 |
404 |
$0.00 |
| 3074F |
|
96 |
81 |
$0.00 |
| 36416 |
|
26 |
24 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
51 |
47 |
$0.00 |
| 81003 |
|
775 |
715 |
$0.00 |
| 3078F |
|
60 |
55 |
$0.00 |
| 1159F |
|
98 |
88 |
$0.00 |
| 3288F |
|
59 |
56 |
$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) |
31 |
30 |
$0.00 |
| 1160F |
|
48 |
41 |
$0.00 |