| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96160 |
|
7,070 |
7,011 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,896 |
83,495 |
$187K |
| 99050 |
|
2,683 |
2,478 |
$24K |
| 0002A |
|
837 |
611 |
$17K |
| 0001A |
|
810 |
651 |
$16K |
| 0003A |
|
124 |
124 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
400 |
327 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
917 |
757 |
$4K |
| 99385 |
|
93 |
91 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
137 |
137 |
$2K |
| 99386 |
|
63 |
63 |
$1K |
| 90651 |
|
192 |
182 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,923 |
1,791 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
169 |
169 |
$861.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
36 |
$829.15 |
| 0054A |
|
21 |
21 |
$720.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,018 |
917 |
$570.06 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,065 |
1,815 |
$467.51 |
| 99397 |
|
13 |
13 |
$307.97 |
| 90700 |
|
82 |
74 |
$264.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,114 |
1,042 |
$240.00 |
| 90734 |
|
178 |
168 |
$232.00 |
| 90716 |
|
46 |
38 |
$184.00 |
| 90649 |
|
81 |
81 |
$128.00 |
| 90688 |
|
219 |
219 |
$124.01 |
| 90656 |
|
24 |
14 |
$96.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
227 |
218 |
$91.36 |
| 90715 |
|
27 |
27 |
$84.00 |
| 90647 |
|
14 |
14 |
$52.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
13 |
$48.00 |
| 90713 |
|
14 |
14 |
$48.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
368 |
363 |
$20.48 |
| 99442 |
|
161 |
158 |
$20.00 |
| 90658 |
|
13 |
12 |
$12.00 |
| 96150 |
|
55 |
53 |
$0.02 |
| 99401 |
|
237 |
232 |
$0.00 |
| 96152 |
|
99 |
78 |
$0.00 |
| 91300 |
|
570 |
448 |
$0.00 |
| 99411 |
|
232 |
219 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
155 |
154 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
16 |
$0.00 |
| 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 |
14 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
272 |
$0.00 |
| 99443 |
|
469 |
430 |
$0.00 |
| 3008F |
|
14 |
14 |
$0.00 |
| 99441 |
|
824 |
788 |
$0.00 |
| 93000 |
|
54 |
54 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 99402 |
|
356 |
345 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |