| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,453 |
51,787 |
$209K |
| 3008F |
|
32,951 |
30,205 |
$84K |
| 3074F |
|
20,852 |
19,497 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,260 |
17,787 |
$63K |
| 3078F |
|
20,603 |
19,258 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,570 |
5,218 |
$49K |
| 96156 |
|
11,895 |
11,774 |
$39K |
| 99173 |
|
6,452 |
6,436 |
$22K |
| 3079F |
|
6,179 |
5,949 |
$19K |
| G9920 |
Screening performed and negative |
11,578 |
11,373 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,512 |
1,497 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
542 |
530 |
$15K |
| 3075F |
|
4,065 |
3,955 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,085 |
1,056 |
$14K |
| 3044F |
|
2,913 |
2,838 |
$13K |
| 90688 |
|
818 |
817 |
$9K |
| 93000 |
|
1,147 |
1,140 |
$9K |
| 92552 |
|
7,820 |
7,728 |
$8K |
| 92551 |
|
2,640 |
2,607 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
167 |
158 |
$8K |
| 3077F |
|
3,995 |
3,782 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
614 |
613 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
390 |
381 |
$5K |
| 92081 |
|
2,003 |
1,915 |
$5K |
| 97802 |
|
6,556 |
6,455 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
297 |
295 |
$4K |
| 82044 |
|
4,091 |
4,055 |
$4K |
| 85018 |
|
3,209 |
3,158 |
$3K |
| 99381 |
|
38 |
29 |
$3K |
| 90674 |
|
347 |
335 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
537 |
357 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,800 |
6,195 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,986 |
1,977 |
$2K |
| 0003A |
|
60 |
58 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
229 |
229 |
$2K |
| 90648 |
|
377 |
374 |
$2K |
| 90670 |
|
377 |
374 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
994 |
993 |
$2K |
| 3080F |
|
1,674 |
1,596 |
$2K |
| 1159F |
|
16,070 |
15,119 |
$2K |
| 82962 |
|
2,842 |
2,764 |
$2K |
| 90658 |
|
155 |
155 |
$2K |
| 90734 |
|
418 |
409 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
302 |
266 |
$2K |
| 90649 |
|
384 |
380 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,203 |
1,201 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,810 |
3,786 |
$1K |
| 90723 |
|
204 |
198 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
416 |
414 |
$928.41 |
| 1036F |
|
43,629 |
37,863 |
$895.30 |
| 81000 |
|
1,395 |
1,394 |
$890.49 |
| 81002 |
|
4,042 |
3,966 |
$882.72 |
| 90686 |
|
231 |
229 |
$840.08 |
| 88150 |
|
167 |
165 |
$653.00 |
| 96127 |
|
6,864 |
6,809 |
$607.92 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,174 |
1,169 |
$569.00 |
| 90633 |
|
146 |
145 |
$540.00 |
| 90716 |
|
136 |
136 |
$522.00 |
| 1160F |
|
16,290 |
15,329 |
$497.50 |
| 0071A |
|
12 |
12 |
$480.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
37 |
37 |
$470.64 |
| 99215 |
Prolong outpt/office vis |
1,619 |
1,327 |
$461.02 |
| 90707 |
|
120 |
120 |
$459.00 |
| 99406 |
|
451 |
435 |
$417.80 |
| 99401 |
|
448 |
409 |
$403.90 |
| 90715 |
|
83 |
82 |
$378.00 |
| 86580 |
|
162 |
161 |
$324.99 |
| 96150 |
|
191 |
190 |
$323.50 |
| 90681 |
|
54 |
53 |
$297.00 |
| 96151 |
|
531 |
529 |
$273.44 |
| 3725F |
|
11,384 |
11,251 |
$272.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
479 |
477 |
$238.00 |
| 90700 |
|
32 |
32 |
$225.00 |
| 99205 |
Prolong outpt/office vis |
46 |
46 |
$197.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
880 |
875 |
$187.30 |
| 90756 |
|
168 |
167 |
$180.27 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,877 |
1,735 |
$175.00 |
| 3061F |
|
53 |
53 |
$145.00 |
| 82270 |
|
523 |
521 |
$141.79 |
| 3288F |
|
3,582 |
3,572 |
$136.00 |
| 99385 |
|
157 |
157 |
$112.96 |
| 82948 |
|
750 |
734 |
$92.06 |
| 97803 |
|
52 |
52 |
$77.55 |
| 1100F |
|
394 |
392 |
$50.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
58 |
58 |
$49.28 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
231 |
214 |
$45.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
16 |
16 |
$45.00 |
| 90651 |
|
41 |
41 |
$36.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
70 |
70 |
$29.00 |
| 3051F |
|
13 |
12 |
$20.00 |
| 3017F |
|
44 |
44 |
$20.00 |
| 1034F |
|
2,997 |
2,716 |
$20.00 |
| 90696 |
|
13 |
13 |
$18.00 |
| 99070 |
|
33 |
32 |
$15.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
930 |
925 |
$8.54 |
| 99199 |
Unlisted special service, procedure or report |
828 |
791 |
$7.50 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
53 |
53 |
$0.00 |
| 82947 |
|
77 |
77 |
$0.00 |
| 90461 |
|
113 |
107 |
$0.00 |
| 96160 |
|
50 |
48 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
75 |
75 |
$0.00 |
| 4004F |
|
28 |
28 |
$0.00 |
| 98960 |
|
12 |
12 |
$0.00 |
| 99072 |
|
12 |
12 |
$0.00 |
| 1125F |
|
212 |
211 |
$0.00 |
| 1170F |
|
346 |
346 |
$0.00 |
| 99000 |
|
173 |
169 |
$0.00 |
| 1111F |
|
492 |
483 |
$0.00 |
| 1101F |
|
62 |
62 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
78 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
119 |
119 |
$0.00 |
| 99386 |
|
38 |
38 |
$0.00 |
| 1126F |
|
16 |
16 |
$0.00 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
52 |
52 |
$0.00 |