| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
2,161 |
1,561 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,638 |
3,984 |
$70K |
| 99201 |
|
444 |
403 |
$52K |
| 99401 |
|
3,068 |
2,885 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,634 |
1,507 |
$49K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
245 |
207 |
$41K |
| J3490 |
Unclassified drugs |
361 |
295 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,110 |
1,010 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,487 |
966 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
227 |
227 |
$13K |
| 99000 |
|
3,737 |
3,181 |
$13K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
710 |
710 |
$9K |
| Z1032 |
|
55 |
55 |
$9K |
| Z6406 |
|
908 |
802 |
$7K |
| Z6304 |
|
899 |
760 |
$7K |
| 92552 |
|
546 |
546 |
$6K |
| Z6500 |
|
43 |
43 |
$5K |
| Z6204 |
|
573 |
505 |
$4K |
| 81025 |
|
1,330 |
1,290 |
$4K |
| Z6400 |
|
379 |
368 |
$3K |
| 85018 |
|
871 |
868 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
100 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
74 |
$805.35 |
| 81002 |
|
309 |
305 |
$683.35 |
| 82947 |
|
126 |
126 |
$529.48 |
| 82465 |
|
126 |
126 |
$498.96 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
134 |
130 |
$486.01 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
378 |
378 |
$90.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
96 |
96 |
$25.00 |
| 3078F |
|
195 |
190 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
45 |
45 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
45 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |
| 3008F |
|
914 |
913 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
162 |
162 |
$0.00 |
| 96127 |
|
123 |
122 |
$0.00 |
| 3074F |
|
363 |
355 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
36 |
36 |
$0.00 |
| 90686 |
|
25 |
25 |
$0.00 |
| 3079F |
|
55 |
55 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |