| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
3,743 |
3,701 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,569 |
13,818 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,678 |
14,350 |
$2K |
| 92552 |
|
1,795 |
1,779 |
$380.09 |
| 90621 |
|
210 |
181 |
$180.40 |
| 90686 |
|
4,648 |
4,623 |
$178.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
386 |
386 |
$101.87 |
| 90649 |
|
329 |
303 |
$99.00 |
| 90734 |
|
135 |
135 |
$89.10 |
| 85018 |
|
1,921 |
1,888 |
$87.74 |
| 81002 |
|
2,227 |
1,981 |
$63.08 |
| 90715 |
|
836 |
836 |
$49.50 |
| 99173 |
|
663 |
646 |
$5.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,517 |
4,444 |
$4.86 |
| 90662 |
|
180 |
180 |
$1.00 |
| 3079F |
|
3,232 |
3,149 |
$0.00 |
| 86580 |
|
571 |
565 |
$0.00 |
| 3008F |
|
6,811 |
6,475 |
$0.00 |
| 3074F |
|
4,345 |
4,147 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 1126F |
|
316 |
316 |
$0.00 |
| 96127 |
|
1,361 |
1,321 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,632 |
2,626 |
$0.00 |
| 88150 |
|
411 |
411 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,372 |
2,367 |
$0.00 |
| 3075F |
|
1,437 |
1,409 |
$0.00 |
| 90744 |
|
325 |
318 |
$0.00 |
| 3080F |
|
1,840 |
1,798 |
$0.00 |
| 1220F |
|
307 |
283 |
$0.00 |
| 1170F |
|
210 |
210 |
$0.00 |
| 3061F |
|
81 |
81 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
154 |
154 |
$0.00 |
| 3060F |
|
41 |
41 |
$0.00 |
| 81000 |
|
49 |
49 |
$0.00 |
| 96156 |
|
374 |
374 |
$0.00 |
| 3014F |
|
53 |
53 |
$0.00 |
| 3044F |
|
904 |
904 |
$0.00 |
| 1111F |
|
81 |
81 |
$0.00 |
| 90656 |
|
89 |
89 |
$0.00 |
| 90651 |
|
69 |
69 |
$0.00 |
| 3052F |
|
52 |
52 |
$0.00 |
| 82270 |
|
43 |
43 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
278 |
275 |
$0.00 |
| 0011A |
|
38 |
38 |
$0.00 |
| 90732 |
|
167 |
167 |
$0.00 |
| 99386 |
|
26 |
26 |
$0.00 |
| 0012A |
|
36 |
36 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 93000 |
|
48 |
38 |
$0.00 |
| 99385 |
|
56 |
56 |
$0.00 |
| 90673 |
|
17 |
17 |
$0.00 |
| 90716 |
|
20 |
20 |
$0.00 |
| 81025 |
|
25 |
25 |
$0.00 |
| 3077F |
|
3,458 |
3,368 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
182 |
164 |
$0.00 |
| 3078F |
|
4,251 |
4,076 |
$0.00 |
| 3051F |
|
113 |
113 |
$0.00 |
| 90750 |
|
602 |
602 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
541 |
539 |
$0.00 |
| 90670 |
|
26 |
24 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
707 |
707 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
373 |
373 |
$0.00 |
| 1160F |
|
1,042 |
1,039 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
211 |
211 |
$0.00 |
| 3046F |
|
554 |
539 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
172 |
152 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
576 |
556 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
103 |
103 |
$0.00 |
| 1159F |
|
1,030 |
1,027 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
385 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
438 |
438 |
$0.00 |
| 3015F |
|
68 |
68 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
95 |
$0.00 |
| 90707 |
|
19 |
19 |
$0.00 |
| 0521F |
|
392 |
392 |
$0.00 |
| 3288F |
|
79 |
79 |
$0.00 |
| 3045F |
|
48 |
48 |
$0.00 |
| 90682 |
|
186 |
186 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
269 |
245 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
146 |
146 |
$0.00 |
| 97803 |
|
17 |
17 |
$0.00 |
| 1158F |
|
14 |
14 |
$0.00 |
| 2022F |
|
53 |
53 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$0.00 |
| 99401 |
|
27 |
27 |
$0.00 |
| 90633 |
|
30 |
30 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |