| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,724 |
13,880 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,111 |
5,689 |
$612K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,468 |
4,402 |
$472K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,072 |
2,047 |
$191K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
833 |
805 |
$76K |
| 93000 |
|
4,446 |
4,421 |
$61K |
| H0049 |
Alcohol and/or drug screening |
1,376 |
1,357 |
$43K |
| 92587 |
|
2,048 |
2,046 |
$42K |
| 99441 |
|
1,059 |
967 |
$40K |
| 92082 |
|
841 |
841 |
$33K |
| 76830 |
Ultrasound, transvaginal |
317 |
314 |
$22K |
| 99385 |
|
162 |
159 |
$16K |
| 99401 |
|
532 |
520 |
$16K |
| 94010 |
|
516 |
515 |
$16K |
| 90688 |
|
909 |
909 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
946 |
945 |
$15K |
| 99386 |
|
109 |
102 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
3,859 |
3,825 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
487 |
464 |
$8K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
278 |
278 |
$7K |
| 92081 |
|
201 |
201 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
310 |
283 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
445 |
440 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
214 |
214 |
$5K |
| 81025 |
|
958 |
935 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
278 |
259 |
$5K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
107 |
104 |
$2K |
| 90674 |
|
83 |
83 |
$2K |
| 99397 |
|
12 |
12 |
$1K |
| 90686 |
|
46 |
46 |
$903.82 |
| 93922 |
|
12 |
12 |
$867.24 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$728.91 |
| 3075F |
|
447 |
434 |
$694.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
178 |
175 |
$538.21 |
| 3079F |
|
389 |
373 |
$505.01 |
| 90756 |
|
24 |
24 |
$466.73 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$307.44 |
| 82270 |
|
81 |
81 |
$246.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$229.20 |
| 3078F |
|
152 |
133 |
$215.01 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
14 |
$197.29 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
126 |
120 |
$101.70 |
| 3074F |
|
121 |
109 |
$87.50 |
| 96160 |
|
29 |
28 |
$64.17 |
| 3008F |
|
4,543 |
4,277 |
$19.60 |
| 88142 |
|
130 |
130 |
$1.19 |
| 3061F |
|
12 |
12 |
$0.00 |