| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,843 |
8,846 |
$402K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,051 |
4,311 |
$250K |
| 99223 |
Prolong inpt eval add15 m |
2,653 |
2,368 |
$236K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,187 |
1,865 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
558 |
468 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,091 |
919 |
$36K |
| 99222 |
Initial hospital care, per day, moderate complexity |
443 |
399 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
184 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
425 |
389 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
205 |
166 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
446 |
369 |
$11K |
| 99490 |
Ccm add 20min |
549 |
499 |
$11K |
| 3008F |
|
6,453 |
5,407 |
$10K |
| 90674 |
|
503 |
402 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
501 |
395 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
151 |
128 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
359 |
233 |
$5K |
| 1159F |
|
1,439 |
1,197 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
40 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
25 |
$2K |
| 90756 |
|
126 |
114 |
$2K |
| 99173 |
|
530 |
459 |
$2K |
| 99401 |
|
110 |
98 |
$1K |
| 3074F |
|
740 |
622 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 81003 |
|
1,238 |
1,016 |
$1K |
| 81025 |
|
341 |
276 |
$1K |
| 0012A |
|
25 |
23 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,218 |
1,072 |
$994.91 |
| 0011A |
|
33 |
28 |
$908.08 |
| 3078F |
|
435 |
362 |
$903.94 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
52 |
$626.91 |
| 96127 |
|
633 |
550 |
$536.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
44 |
$508.47 |
| 3061F |
|
125 |
104 |
$447.49 |
| 82044 |
|
166 |
140 |
$379.99 |
| 1170F |
|
524 |
450 |
$313.14 |
| 96160 |
|
417 |
356 |
$279.79 |
| 3044F |
|
67 |
48 |
$220.00 |
| 1126F |
|
215 |
185 |
$183.14 |
| 3060F |
|
46 |
38 |
$170.00 |
| 93000 |
|
13 |
12 |
$160.92 |
| 90685 |
|
60 |
57 |
$116.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
28 |
$94.44 |
| 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) |
20 |
13 |
$80.98 |
| 3079F |
|
123 |
100 |
$71.76 |
| G0008 |
Administration of influenza virus vaccine |
111 |
107 |
$56.82 |
| 1125F |
|
44 |
41 |
$30.00 |
| 90686 |
|
137 |
118 |
$20.54 |
| 82962 |
|
15 |
12 |
$15.55 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,907 |
2,449 |
$0.02 |
| 3288F |
|
391 |
329 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
246 |
202 |
$0.00 |
| 1100F |
|
234 |
199 |
$0.00 |
| 1090F |
|
388 |
333 |
$0.00 |
| 1124F |
|
303 |
261 |
$0.00 |
| 0518F |
|
118 |
109 |
$0.00 |
| 2028F |
|
15 |
12 |
$0.00 |
| 90461 |
|
27 |
25 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
117 |
99 |
$0.00 |
| 4013F |
|
96 |
83 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
14 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,696 |
2,265 |
$0.00 |
| 1036F |
|
1,051 |
877 |
$0.00 |
| 3014F |
|
207 |
155 |
$0.00 |
| 3048F |
|
47 |
39 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
40 |
36 |
$0.00 |
| 91301 |
|
84 |
73 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
329 |
274 |
$0.00 |
| 3017F |
|
66 |
57 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
14 |
14 |
$0.00 |