| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,393 |
24,025 |
$463K |
| 99442 |
|
8,668 |
7,663 |
$396K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,530 |
2,151 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,693 |
3,570 |
$84K |
| 99441 |
|
3,469 |
3,065 |
$84K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,383 |
1,383 |
$62K |
| 99381 |
|
1,021 |
934 |
$57K |
| 99443 |
|
1,105 |
992 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,455 |
2,132 |
$47K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,982 |
4,937 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
411 |
409 |
$30K |
| 99215 |
Prolong outpt/office vis |
729 |
705 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
523 |
491 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,348 |
1,333 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,604 |
1,481 |
$23K |
| 92551 |
|
2,375 |
2,354 |
$21K |
| 90670 |
|
2,666 |
2,259 |
$17K |
| 90698 |
|
2,537 |
2,098 |
$16K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,435 |
2,422 |
$15K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,185 |
1,162 |
$14K |
| 99385 |
|
206 |
199 |
$14K |
| 96156 |
|
231 |
226 |
$13K |
| 90682 |
|
253 |
248 |
$12K |
| 99461 |
|
142 |
142 |
$11K |
| 90686 |
|
1,189 |
1,170 |
$10K |
| 90681 |
|
1,342 |
1,158 |
$10K |
| 90633 |
|
1,541 |
1,339 |
$9K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,019 |
1,011 |
$7K |
| 90744 |
|
1,114 |
856 |
$6K |
| 90688 |
|
1,175 |
872 |
$6K |
| 90710 |
|
849 |
711 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
59 |
$5K |
| 88141 |
|
263 |
228 |
$3K |
| 86580 |
|
805 |
799 |
$3K |
| 90697 |
|
347 |
335 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,782 |
1,772 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
127 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
677 |
669 |
$2K |
| 90685 |
|
435 |
419 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
213 |
207 |
$2K |
| 90651 |
|
387 |
336 |
$2K |
| G9919 |
Screening performed and positive and provision of recommendations |
307 |
307 |
$2K |
| 81000 |
|
1,899 |
1,886 |
$2K |
| 92552 |
|
162 |
160 |
$2K |
| 1125F |
|
464 |
441 |
$2K |
| G9920 |
Screening performed and negative |
843 |
843 |
$2K |
| 1126F |
|
6,067 |
5,722 |
$1K |
| 90671 |
|
174 |
166 |
$1K |
| 90696 |
|
173 |
156 |
$1K |
| 99000 |
|
305 |
298 |
$936.99 |
| 90673 |
|
24 |
24 |
$776.00 |
| 93000 |
|
39 |
39 |
$764.25 |
| 99173 |
|
1,367 |
1,356 |
$438.88 |
| 90715 |
|
43 |
41 |
$304.11 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$283.15 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
56 |
56 |
$272.68 |
| 97802 |
|
68 |
68 |
$237.60 |
| 90734 |
|
34 |
32 |
$220.74 |
| 90658 |
|
23 |
20 |
$215.16 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
13 |
13 |
$186.08 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$169.80 |
| 90662 |
|
13 |
13 |
$140.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,823 |
1,783 |
$57.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
70 |
68 |
$12.00 |
| 1036F |
|
3,635 |
3,581 |
$0.00 |
| 3008F |
|
8,672 |
8,309 |
$0.00 |
| 3079F |
|
4,439 |
4,224 |
$0.00 |
| 3074F |
|
7,208 |
6,909 |
$0.00 |
| 3044F |
|
1,666 |
1,528 |
$0.00 |
| 3075F |
|
911 |
875 |
$0.00 |
| 1220F |
|
622 |
573 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
336 |
332 |
$0.00 |
| 3351F |
|
721 |
705 |
$0.00 |
| 1034F |
|
69 |
69 |
$0.00 |
| 1170F |
|
76 |
76 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 3078F |
|
5,213 |
5,028 |
$0.00 |
| 99072 |
|
1,164 |
1,137 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
85 |
85 |
$0.00 |
| 1159F |
|
2,138 |
1,998 |
$0.00 |
| 1160F |
|
2,167 |
2,118 |
$0.00 |
| 3077F |
|
118 |
107 |
$0.00 |
| 90461 |
|
1,051 |
1,023 |
$0.00 |
| 1158F |
|
66 |
65 |
$0.00 |
| 1090F |
|
43 |
43 |
$0.00 |
| 3288F |
|
51 |
51 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 3046F |
|
15 |
13 |
$0.00 |
| 97803 |
|
13 |
13 |
$0.00 |
| 99408 |
|
12 |
12 |
$0.00 |