| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,975 |
26,552 |
$46K |
| 90756 |
|
1,445 |
1,445 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,604 |
8,196 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,123 |
1,114 |
$11K |
| 99429 |
|
31 |
31 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
569 |
569 |
$3K |
| 99497 |
|
256 |
256 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,073 |
2,048 |
$3K |
| 94760 |
|
21,993 |
21,031 |
$3K |
| 99215 |
Prolong outpt/office vis |
280 |
279 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
582 |
580 |
$1K |
| 92081 |
|
448 |
448 |
$593.66 |
| 90715 |
|
45 |
45 |
$488.50 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
44 |
43 |
$334.60 |
| 96160 |
|
750 |
749 |
$321.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
165 |
152 |
$316.78 |
| 82947 |
|
4,736 |
4,584 |
$313.82 |
| 90658 |
|
13 |
13 |
$233.88 |
| 96127 |
|
206 |
205 |
$212.28 |
| 92551 |
|
163 |
163 |
$207.54 |
| 99397 |
|
142 |
141 |
$147.22 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
73 |
$137.50 |
| 93000 |
|
86 |
85 |
$116.07 |
| 85018 |
|
509 |
504 |
$112.19 |
| 90688 |
|
12 |
12 |
$111.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,541 |
2,455 |
$57.33 |
| 81002 |
|
621 |
603 |
$42.49 |
| 86580 |
|
16 |
16 |
$9.71 |
| 99173 |
|
33 |
33 |
$8.06 |
| 99499 |
|
1,517 |
1,487 |
$0.01 |
| 3075F |
|
1,606 |
1,593 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
539 |
526 |
$0.00 |
| 3080F |
|
500 |
494 |
$0.00 |
| 1126F |
|
152 |
151 |
$0.00 |
| 3079F |
|
2,451 |
2,426 |
$0.00 |
| 1111F |
|
917 |
899 |
$0.00 |
| 1170F |
|
242 |
239 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
756 |
735 |
$0.00 |
| 3074F |
|
11,383 |
11,028 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
49 |
49 |
$0.00 |
| 90733 |
|
14 |
14 |
$0.00 |
| 1125F |
|
34 |
33 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
67 |
67 |
$0.00 |
| 1220F |
|
146 |
145 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |
| 3077F |
|
1,636 |
1,598 |
$0.00 |
| 3078F |
|
11,532 |
11,190 |
$0.00 |
| 1160F |
|
216 |
213 |
$0.00 |
| 1090F |
|
52 |
51 |
$0.00 |
| 99001 |
|
64 |
61 |
$0.00 |
| 3288F |
|
123 |
122 |
$0.00 |
| 1159F |
|
206 |
203 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 1158F |
|
150 |
150 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
135 |
134 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |