| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,847 |
16,901 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,247 |
1,214 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
254 |
250 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,986 |
2,848 |
$12K |
| G9920 |
Screening performed and negative |
1,972 |
1,969 |
$8K |
| H0049 |
Alcohol and/or drug screening |
4,402 |
4,390 |
$5K |
| G9919 |
Screening performed and positive and provision of recommendations |
1,149 |
1,149 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,439 |
4,416 |
$4K |
| 99383 |
|
40 |
30 |
$4K |
| 92551 |
|
1,633 |
1,631 |
$4K |
| 96160 |
|
665 |
661 |
$3K |
| 1036F |
|
3,427 |
3,423 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
426 |
423 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
752 |
747 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$1K |
| 99173 |
|
1,345 |
1,345 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
106 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
84 |
84 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
711 |
682 |
$1K |
| 99000 |
|
1,200 |
1,170 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,833 |
1,763 |
$1K |
| 96161 |
|
246 |
246 |
$903.92 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
32 |
$808.77 |
| 93000 |
|
313 |
309 |
$723.42 |
| 85018 |
|
1,947 |
1,941 |
$637.84 |
| D0140 |
Limited oral evaluation - problem focused |
120 |
120 |
$500.00 |
| 92081 |
|
233 |
231 |
$355.63 |
| 99386 |
|
14 |
14 |
$350.00 |
| 85014 |
|
180 |
157 |
$297.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
590 |
584 |
$287.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
176 |
172 |
$147.13 |
| 99384 |
|
15 |
15 |
$143.28 |
| 90734 |
|
109 |
109 |
$108.00 |
| 81002 |
|
654 |
630 |
$84.36 |
| 90633 |
|
14 |
14 |
$72.00 |
| 90715 |
|
31 |
31 |
$72.00 |
| 99215 |
Prolong outpt/office vis |
19 |
19 |
$56.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
643 |
632 |
$51.03 |
| 81025 |
|
93 |
91 |
$44.74 |
| 3078F |
|
2,206 |
2,072 |
$39.00 |
| 86580 |
|
38 |
38 |
$36.01 |
| 90651 |
|
125 |
125 |
$36.00 |
| 82947 |
|
184 |
183 |
$31.84 |
| 1159F |
|
2,219 |
2,135 |
$28.00 |
| 1160F |
|
1,208 |
1,179 |
$28.00 |
| 3074F |
|
2,090 |
1,980 |
$25.00 |
| 3075F |
|
1,059 |
978 |
$23.00 |
| 94760 |
|
105 |
105 |
$22.24 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,223 |
1,208 |
$16.53 |
| 3079F |
|
1,215 |
1,137 |
$10.00 |
| 96127 |
|
298 |
296 |
$8.66 |
| 3044F |
|
25 |
25 |
$4.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
276 |
268 |
$3.17 |
| 82270 |
|
123 |
123 |
$1.99 |
| 3725F |
|
401 |
398 |
$0.00 |
| 99499 |
|
61 |
60 |
$0.00 |
| 99446 |
|
774 |
748 |
$0.00 |
| 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 |
1,410 |
1,346 |
$0.00 |
| 3077F |
|
236 |
223 |
$0.00 |
| 92552 |
|
172 |
172 |
$0.00 |
| 81003 |
|
177 |
174 |
$0.00 |
| 99408 |
|
519 |
519 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
67 |
66 |
$0.00 |
| 99448 |
|
47 |
47 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 99442 |
|
47 |
47 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$0.00 |
| 3008F |
|
6,601 |
6,175 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,162 |
2,105 |
$0.00 |
| 99447 |
|
915 |
876 |
$0.00 |
| 1125F |
|
156 |
154 |
$0.00 |
| 96156 |
|
13 |
13 |
$0.00 |
| 1126F |
|
355 |
342 |
$0.00 |
| 99406 |
|
17 |
17 |
$0.00 |
| 3353F |
|
103 |
103 |
$0.00 |
| 3351F |
|
261 |
258 |
$0.00 |
| 3080F |
|
43 |
40 |
$0.00 |
| 99441 |
|
150 |
144 |
$0.00 |
| 0545F |
|
105 |
105 |
$0.00 |
| 1000F |
|
16 |
16 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
27 |
$0.00 |
| 88141 |
|
12 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
43 |
$0.00 |