| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,767 |
16,161 |
$1.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,334 |
22,812 |
$1.51M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,423 |
5,262 |
$476K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,148 |
4,057 |
$334K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
820 |
813 |
$97K |
| Q3014 |
Telehealth originating site facility fee |
4,837 |
4,190 |
$60K |
| 93922 |
|
1,263 |
1,234 |
$59K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,398 |
1,329 |
$34K |
| 90688 |
|
1,581 |
1,558 |
$29K |
| 93000 |
|
3,377 |
3,255 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,591 |
2,527 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
680 |
641 |
$26K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
832 |
828 |
$20K |
| 99397 |
|
218 |
188 |
$18K |
| 82962 |
|
6,206 |
5,379 |
$16K |
| 82947 |
|
3,256 |
2,796 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
96 |
$7K |
| 99406 |
|
1,122 |
1,069 |
$7K |
| 81002 |
|
2,419 |
2,326 |
$6K |
| 90658 |
|
377 |
365 |
$6K |
| 90756 |
|
239 |
239 |
$5K |
| 87110 |
|
635 |
622 |
$5K |
| 96127 |
|
1,344 |
1,334 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
465 |
430 |
$4K |
| 82948 |
|
1,983 |
1,661 |
$4K |
| 94060 |
|
74 |
74 |
$3K |
| 0013A |
|
69 |
68 |
$2K |
| 96160 |
|
662 |
661 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 81000 |
|
746 |
720 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,087 |
961 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
69 |
69 |
$1K |
| 0003A |
|
36 |
35 |
$1K |
| 71047 |
|
15 |
15 |
$327.89 |
| 82043 |
|
168 |
142 |
$282.18 |
| 0004A |
|
13 |
13 |
$240.19 |
| 81025 |
|
39 |
38 |
$224.81 |
| 94010 |
|
45 |
45 |
$141.47 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$71.75 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
7,570 |
7,292 |
$60.00 |
| 97802 |
|
75 |
75 |
$22.89 |
| 94375 |
|
26 |
26 |
$22.39 |
| 3074F |
|
9,718 |
8,837 |
$21.32 |
| 3078F |
|
7,988 |
7,259 |
$17.73 |
| 3079F |
|
3,298 |
3,099 |
$8.12 |
| 3075F |
|
2,586 |
2,450 |
$5.58 |
| 3077F |
|
1,930 |
1,817 |
$3.33 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
183 |
175 |
$2.35 |
| 3080F |
|
1,078 |
1,023 |
$2.12 |
| 3008F |
|
11,838 |
10,925 |
$0.49 |
| 36410 |
|
96 |
89 |
$0.04 |
| 3046F |
|
487 |
420 |
$0.03 |
| 3044F |
|
702 |
636 |
$0.02 |
| 97804 |
|
60 |
60 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
225 |
208 |
$0.00 |
| 3061F |
|
99 |
95 |
$0.00 |
| 1125F |
|
40 |
39 |
$0.00 |
| 91301 |
|
176 |
152 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
162 |
154 |
$0.00 |
| 93770 |
|
11,249 |
10,368 |
$0.00 |
| 91300 |
|
99 |
97 |
$0.00 |
| 90687 |
|
22 |
19 |
$0.00 |