| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,989 |
46,233 |
$473K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,080 |
48,654 |
$322K |
| 90686 |
|
13,344 |
13,251 |
$225K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,479 |
20,698 |
$171K |
| 90746 |
|
2,608 |
2,593 |
$148K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
21,257 |
19,231 |
$94K |
| 90732 |
|
838 |
836 |
$72K |
| 90651 |
|
454 |
452 |
$54K |
| 90750 |
|
275 |
275 |
$50K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,513 |
6,468 |
$48K |
| 91320 |
|
575 |
574 |
$36K |
| 90677 |
|
112 |
112 |
$27K |
| 0134A |
|
512 |
511 |
$21K |
| 90480 |
|
611 |
609 |
$17K |
| 0013A |
|
463 |
462 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,661 |
4,642 |
$16K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,259 |
2,216 |
$14K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
137 |
137 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,460 |
2,404 |
$11K |
| 97802 |
|
14,349 |
13,235 |
$9K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
5,299 |
5,280 |
$6K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
7,409 |
7,366 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,913 |
2,903 |
$5K |
| 0124A |
|
111 |
111 |
$5K |
| 99406 |
|
2,850 |
2,821 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,009 |
1,976 |
$3K |
| 90715 |
|
131 |
131 |
$3K |
| 99401 |
|
9,704 |
9,237 |
$3K |
| 0012A |
|
89 |
88 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,714 |
4,640 |
$2K |
| 90734 |
|
127 |
123 |
$2K |
| 99441 |
|
335 |
316 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,043 |
1,033 |
$2K |
| 88141 |
|
1,246 |
1,227 |
$2K |
| 90688 |
|
199 |
199 |
$2K |
| 0011A |
|
88 |
88 |
$2K |
| 1159F |
|
5,559 |
5,168 |
$1K |
| 99397 |
|
125 |
124 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
529 |
528 |
$1K |
| 82948 |
|
9,691 |
9,115 |
$1K |
| 0064A |
|
31 |
31 |
$1K |
| 99421 |
|
80 |
72 |
$1K |
| 90658 |
|
40 |
40 |
$975.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
161 |
155 |
$752.60 |
| 88164 |
|
337 |
329 |
$702.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
173 |
172 |
$576.39 |
| 3078F |
|
1,068 |
1,023 |
$573.50 |
| 3074F |
|
1,166 |
1,125 |
$570.00 |
| 82272 |
|
1,587 |
1,569 |
$371.98 |
| 87110 |
|
91 |
91 |
$333.66 |
| 3008F |
|
33,967 |
24,434 |
$215.27 |
| 3079F |
|
422 |
414 |
$165.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
776 |
759 |
$118.74 |
| S0612 |
Annual gynecological examination, established patient |
774 |
756 |
$98.95 |
| 81000 |
|
1,405 |
1,271 |
$96.14 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
28,847 |
20,487 |
$91.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
27 |
$83.35 |
| 3075F |
|
287 |
277 |
$60.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,794 |
4,773 |
$56.00 |
| H0001 |
Alcohol and/or drug assessment |
7,103 |
7,087 |
$50.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,921 |
5,632 |
$25.00 |
| 3725F |
|
3,442 |
3,425 |
$25.00 |
| 4010F |
|
3,141 |
2,990 |
$25.00 |
| 82270 |
|
1,788 |
1,761 |
$2.78 |
| 91313 |
|
215 |
211 |
$1.28 |
| 96160 |
|
12 |
12 |
$0.65 |
| 91312 |
|
53 |
53 |
$0.31 |
| 91301 |
|
220 |
218 |
$0.05 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
60 |
$0.00 |
| 3288F |
|
232 |
232 |
$0.00 |
| 99408 |
|
1,468 |
1,448 |
$0.00 |
| 3016F |
|
1,461 |
1,454 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
328 |
326 |
$0.00 |
| 4013F |
|
755 |
744 |
$0.00 |
| 99499 |
|
457 |
427 |
$0.00 |
| 1158F |
|
191 |
191 |
$0.00 |
| 1160F |
|
293 |
293 |
$0.00 |
| 2022F |
|
159 |
150 |
$0.00 |
| 3051F |
|
123 |
120 |
$0.00 |
| 99072 |
|
12 |
12 |
$0.00 |
| 90633 |
|
27 |
26 |
$0.00 |
| 1494F |
|
185 |
185 |
$0.00 |
| 0518F |
|
22 |
22 |
$0.00 |
| 90863 |
|
13 |
12 |
$0.00 |
| 1220F |
|
3,818 |
3,784 |
$0.00 |
| 1170F |
|
242 |
242 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
4,151 |
4,135 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
4,044 |
3,019 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,286 |
1,268 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |
| 87430 |
|
13 |
12 |
$0.00 |
| 1157F |
|
232 |
232 |
$0.00 |
| 90620 |
|
359 |
356 |
$0.00 |
| 3044F |
|
446 |
425 |
$0.00 |
| 1125F |
|
41 |
41 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
44 |
44 |
$0.00 |
| 90674 |
|
52 |
52 |
$0.00 |
| 1126F |
|
176 |
176 |
$0.00 |
| 93000 |
|
89 |
89 |
$0.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
14 |
14 |
$0.00 |
| 3052F |
|
54 |
49 |
$0.00 |