| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,276 |
16,877 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,665 |
3,495 |
$36K |
| 59425 |
|
425 |
324 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
308 |
292 |
$15K |
| Z1034 |
|
264 |
198 |
$14K |
| 90651 |
|
235 |
230 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
96 |
71 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
173 |
170 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
990 |
977 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,012 |
1,002 |
$4K |
| 92551 |
|
4,445 |
4,398 |
$4K |
| 99384 |
|
48 |
35 |
$4K |
| 99383 |
|
119 |
110 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,505 |
4,486 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
472 |
470 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
623 |
609 |
$2K |
| G9920 |
Screening performed and negative |
2,002 |
2,000 |
$2K |
| 99000 |
|
571 |
549 |
$2K |
| 90674 |
|
112 |
110 |
$2K |
| 81025 |
|
782 |
734 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
81 |
64 |
$987.24 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
67 |
$975.33 |
| 85018 |
|
5,522 |
5,406 |
$864.28 |
| 90670 |
|
272 |
269 |
$715.50 |
| 81003 |
|
4,654 |
4,465 |
$715.25 |
| 90648 |
|
278 |
276 |
$697.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,123 |
3,083 |
$653.90 |
| 99382 |
|
12 |
12 |
$633.30 |
| 93000 |
|
735 |
721 |
$328.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
368 |
338 |
$266.08 |
| 90734 |
|
141 |
140 |
$249.75 |
| 90686 |
|
516 |
515 |
$224.75 |
| 90633 |
|
68 |
68 |
$180.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,322 |
7,868 |
$177.40 |
| 90680 |
|
39 |
39 |
$144.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
462 |
458 |
$129.90 |
| 90710 |
|
41 |
41 |
$112.50 |
| 90714 |
|
33 |
33 |
$99.00 |
| 90715 |
|
47 |
47 |
$72.00 |
| 90700 |
|
26 |
26 |
$45.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
187 |
185 |
$45.00 |
| 90658 |
|
32 |
28 |
$27.06 |
| 82947 |
|
62 |
62 |
$10.70 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
387 |
366 |
$2.89 |
| 0502F |
|
593 |
444 |
$1.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,190 |
3,103 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,054 |
1,054 |
$0.00 |
| 3075F |
|
633 |
614 |
$0.00 |
| 3074F |
|
3,989 |
3,795 |
$0.00 |
| 3079F |
|
1,421 |
1,357 |
$0.00 |
| 3044F |
|
546 |
534 |
$0.00 |
| 3014F |
|
69 |
69 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 3080F |
|
64 |
59 |
$0.00 |
| 99386 |
|
25 |
25 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |
| 99385 |
|
93 |
93 |
$0.00 |
| 3017F |
|
39 |
39 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$0.00 |
| 99499 |
|
45 |
45 |
$0.00 |
| 99173 |
|
3,966 |
3,914 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,311 |
1,304 |
$0.00 |
| 99401 |
|
4,133 |
4,120 |
$0.00 |
| 3725F |
|
2,416 |
2,413 |
$0.00 |
| 3078F |
|
3,705 |
3,521 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
836 |
830 |
$0.00 |
| 3077F |
|
484 |
451 |
$0.00 |