| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,791 |
6,137 |
$401K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,004 |
2,708 |
$297K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
560 |
502 |
$140K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
454 |
433 |
$29K |
| 92552 |
|
4,292 |
4,268 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
727 |
724 |
$9K |
| 99000 |
|
2,097 |
2,082 |
$8K |
| 99402 |
|
230 |
227 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
494 |
489 |
$7K |
| 97802 |
|
9,027 |
8,092 |
$6K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
380 |
380 |
$5K |
| 81000 |
|
8,179 |
7,533 |
$4K |
| 99401 |
|
201 |
200 |
$4K |
| 85018 |
|
5,601 |
5,492 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,739 |
7,831 |
$3K |
| 86580 |
|
636 |
631 |
$2K |
| 81025 |
|
798 |
768 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
391 |
387 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
887 |
873 |
$850.00 |
| 92081 |
|
3,460 |
3,448 |
$778.16 |
| 99441 |
|
425 |
415 |
$605.00 |
| 3078F |
|
2,243 |
2,077 |
$545.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
442 |
439 |
$503.86 |
| 90658 |
|
239 |
236 |
$475.86 |
| 3008F |
|
1,591 |
1,474 |
$435.00 |
| 3074F |
|
1,689 |
1,576 |
$425.50 |
| 3075F |
|
1,327 |
1,227 |
$366.00 |
| 1036F |
|
5,092 |
4,512 |
$290.00 |
| 87110 |
|
671 |
668 |
$283.59 |
| 3079F |
|
1,162 |
1,075 |
$273.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45 |
45 |
$221.81 |
| 90461 |
|
740 |
737 |
$180.00 |
| 1125F |
|
2,113 |
1,997 |
$175.00 |
| 2010F |
|
1,278 |
1,179 |
$150.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
134 |
134 |
$150.00 |
| 3077F |
|
193 |
185 |
$127.00 |
| 1111F |
|
53 |
52 |
$100.00 |
| 1158F |
|
1,366 |
1,363 |
$70.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
748 |
733 |
$66.18 |
| 90649 |
|
42 |
42 |
$45.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
552 |
545 |
$41.94 |
| 82947 |
|
570 |
499 |
$39.60 |
| 82270 |
|
32 |
32 |
$35.00 |
| 90700 |
|
12 |
12 |
$27.00 |
| 90734 |
|
50 |
50 |
$27.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,522 |
2,440 |
$17.50 |
| 3049F |
|
108 |
105 |
$13.50 |
| 1160F |
|
2,281 |
2,230 |
$0.00 |
| 1159F |
|
2,282 |
2,231 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
151 |
151 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
115 |
114 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 3117F |
|
25 |
25 |
$0.00 |
| 1126F |
|
1,088 |
1,069 |
$0.00 |
| 1220F |
|
3,059 |
2,722 |
$0.00 |
| 2000F |
|
61 |
60 |
$0.00 |
| 87081 |
|
12 |
12 |
$0.00 |
| 88141 |
|
28 |
28 |
$0.00 |
| 87070 |
|
19 |
19 |
$0.00 |