| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,210 |
28,713 |
$181K |
| 92002 |
|
1,224 |
1,190 |
$79K |
| 97802 |
|
2,264 |
1,920 |
$35K |
| 97803 |
|
1,822 |
1,610 |
$24K |
| 92015 |
Determination of refractive state |
1,251 |
1,215 |
$24K |
| 99442 |
|
11,547 |
10,569 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,617 |
941 |
$15K |
| 76641 |
|
612 |
555 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,650 |
6,084 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,000 |
509 |
$10K |
| 99441 |
|
13,133 |
12,136 |
$9K |
| 76536 |
|
427 |
372 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
356 |
317 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
154 |
133 |
$6K |
| 99443 |
|
3,564 |
3,354 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27,671 |
24,026 |
$5K |
| 92250 |
|
181 |
176 |
$5K |
| 76830 |
Ultrasound, transvaginal |
180 |
164 |
$5K |
| 77066 |
Tomosynthesis, mammo |
1,035 |
969 |
$4K |
| V2020 |
Frames, purchases |
96 |
90 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
848 |
767 |
$2K |
| 96160 |
|
1,564 |
1,412 |
$851.88 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$819.38 |
| 76770 |
|
104 |
78 |
$740.16 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
273 |
262 |
$601.37 |
| 99215 |
Prolong outpt/office vis |
1,497 |
1,466 |
$519.30 |
| 93000 |
|
1,664 |
1,513 |
$467.75 |
| 90688 |
|
167 |
128 |
$412.94 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
205 |
202 |
$399.36 |
| 90686 |
|
167 |
117 |
$314.63 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
109 |
103 |
$209.90 |
| 90670 |
|
188 |
102 |
$205.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
40 |
$202.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
421 |
407 |
$105.84 |
| 96127 |
|
4,402 |
3,570 |
$104.88 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,162 |
1,061 |
$103.64 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
116 |
113 |
$91.35 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
478 |
459 |
$53.98 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
391 |
381 |
$30.00 |
| 90647 |
|
185 |
103 |
$26.03 |
| 90716 |
|
215 |
102 |
$12.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
13 |
$8.00 |
| 90707 |
|
99 |
54 |
$8.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
340 |
313 |
$0.06 |
| 1160F |
|
41,368 |
36,102 |
$0.01 |
| 1125F |
|
11,263 |
10,088 |
$0.00 |
| 1036F |
|
16,741 |
14,990 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,359 |
3,623 |
$0.00 |
| 3075F |
|
4,663 |
4,146 |
$0.00 |
| 1126F |
|
20,418 |
17,521 |
$0.00 |
| 3079F |
|
4,624 |
4,091 |
$0.00 |
| 3074F |
|
18,243 |
15,962 |
$0.00 |
| 3008F |
|
5,971 |
5,225 |
$0.00 |
| 3044F |
|
730 |
615 |
$0.00 |
| 4010F |
|
156 |
147 |
$0.00 |
| 99050 |
|
3,588 |
3,111 |
$0.00 |
| 1170F |
|
430 |
395 |
$0.00 |
| 90651 |
|
179 |
105 |
$0.00 |
| 1000F |
|
2,559 |
2,115 |
$0.00 |
| 3048F |
|
478 |
439 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
71 |
41 |
$0.00 |
| 3014F |
|
267 |
239 |
$0.00 |
| 4000F |
|
246 |
240 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
106 |
100 |
$0.00 |
| 90620 |
|
52 |
31 |
$0.00 |
| 2000F |
|
1,055 |
968 |
$0.00 |
| 73560 |
|
106 |
88 |
$0.00 |
| 3017F |
|
297 |
257 |
$0.00 |
| 1111F |
|
69 |
61 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
31 |
15 |
$0.00 |
| 1034F |
|
42 |
42 |
$0.00 |
| 90723 |
|
59 |
31 |
$0.00 |
| 3011F |
|
33 |
33 |
$0.00 |
| 3080F |
|
81 |
78 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$0.00 |
| 3049F |
|
14 |
13 |
$0.00 |
| 1158F |
|
326 |
313 |
$0.00 |
| 1159F |
|
41,571 |
36,260 |
$0.00 |
| 3078F |
|
22,596 |
19,885 |
$0.00 |
| 3077F |
|
4,024 |
3,636 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
54 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
643 |
558 |
$0.00 |
| 3725F |
|
1,720 |
1,497 |
$0.00 |
| 99408 |
|
459 |
434 |
$0.00 |
| 72100 |
|
174 |
154 |
$0.00 |
| 90734 |
|
182 |
98 |
$0.00 |
| 2028F |
|
384 |
260 |
$0.00 |
| 99348 |
|
100 |
67 |
$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 |
267 |
258 |
$0.00 |
| 3040F |
|
33 |
31 |
$0.00 |
| 1100F |
|
322 |
309 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
30 |
29 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90681 |
|
46 |
24 |
$0.00 |
| 90633 |
|
74 |
41 |
$0.00 |
| 74018 |
|
14 |
13 |
$0.00 |
| 90715 |
|
70 |
47 |
$0.00 |
| 4040F |
|
21 |
16 |
$0.00 |
| 90648 |
|
15 |
14 |
$0.00 |