| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,994 |
1,720 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,934 |
3,218 |
$23K |
| 96160 |
|
2,191 |
2,059 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,730 |
33,040 |
$9K |
| 99442 |
|
4,299 |
3,164 |
$2K |
| 99441 |
|
26,585 |
21,320 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
70 |
70 |
$490.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
406 |
384 |
$295.90 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,164 |
2,117 |
$194.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
357 |
338 |
$158.76 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
193 |
167 |
$95.90 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,691 |
3,547 |
$45.50 |
| 96127 |
|
3,947 |
3,759 |
$30.08 |
| 99397 |
|
240 |
235 |
$11.50 |
| 96150 |
|
3,449 |
2,761 |
$6.50 |
| 99401 |
|
58 |
52 |
$2.00 |
| 86580 |
|
12 |
12 |
$1.00 |
| 90656 |
|
1,108 |
853 |
$0.01 |
| 3078F |
|
9,878 |
8,158 |
$0.00 |
| 1160F |
|
1,405 |
1,303 |
$0.00 |
| 90648 |
|
317 |
287 |
$0.00 |
| 90670 |
|
308 |
283 |
$0.00 |
| 99173 |
|
146 |
143 |
$0.00 |
| 1159F |
|
1,407 |
1,304 |
$0.00 |
| 90700 |
|
825 |
718 |
$0.00 |
| 90715 |
|
76 |
75 |
$0.00 |
| 1158F |
|
346 |
330 |
$0.00 |
| 90734 |
|
148 |
141 |
$0.00 |
| 90633 |
|
58 |
55 |
$0.00 |
| 90649 |
|
34 |
34 |
$0.00 |
| 3077F |
|
122 |
114 |
$0.00 |
| 3725F |
|
937 |
900 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
114 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
27 |
24 |
$0.00 |
| 80061 |
Lipid panel |
128 |
128 |
$0.00 |
| 90713 |
|
365 |
334 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
62 |
62 |
$0.00 |
| 0521F |
|
355 |
338 |
$0.00 |
| 99408 |
|
21 |
16 |
$0.00 |
| 96152 |
|
12 |
12 |
$0.00 |
| 3074F |
|
9,722 |
8,014 |
$0.00 |
| 93000 |
|
573 |
566 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,422 |
1,377 |
$0.00 |
| 3061F |
|
54 |
50 |
$0.00 |
| 3048F |
|
138 |
121 |
$0.00 |
| 1170F |
|
388 |
357 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 1030F |
|
342 |
319 |
$0.00 |
| 1125F |
|
274 |
263 |
$0.00 |
| 1157F |
|
360 |
343 |
$0.00 |
| 3008F |
|
396 |
379 |
$0.00 |
| 96161 |
|
26 |
26 |
$0.00 |
| 4010F |
|
44 |
44 |
$0.00 |
| 3044F |
|
64 |
53 |
$0.00 |
| 1126F |
|
432 |
413 |
$0.00 |
| 90716 |
|
52 |
51 |
$0.00 |
| 3079F |
|
24 |
24 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39 |
29 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 90650 |
|
24 |
24 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |
| 90744 |
|
15 |
14 |
$0.00 |