| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,633 |
13,738 |
$378K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,636 |
1,401 |
$264K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,887 |
4,865 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,648 |
3,634 |
$73K |
| J3490 |
Unclassified drugs |
549 |
485 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,110 |
23,279 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,379 |
2,337 |
$55K |
| G9920 |
Screening performed and negative |
2,347 |
2,334 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
608 |
474 |
$32K |
| 92552 |
|
3,820 |
3,811 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
537 |
506 |
$25K |
| 99384 |
|
374 |
363 |
$24K |
| 99383 |
|
435 |
420 |
$23K |
| 92551 |
|
8,251 |
8,236 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,599 |
1,745 |
$20K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,324 |
1,324 |
$17K |
| 85018 |
|
11,254 |
11,048 |
$9K |
| 99382 |
|
154 |
154 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
901 |
897 |
$8K |
| 99381 |
|
93 |
82 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,782 |
1,693 |
$4K |
| 90633 |
|
839 |
838 |
$4K |
| 90734 |
|
1,205 |
1,204 |
$4K |
| 90686 |
|
1,333 |
1,328 |
$4K |
| 81025 |
|
1,216 |
1,212 |
$3K |
| 90670 |
|
675 |
672 |
$3K |
| 97802 |
|
5,329 |
5,125 |
$3K |
| 81000 |
|
3,056 |
3,048 |
$3K |
| 90744 |
|
455 |
453 |
$3K |
| 90651 |
|
635 |
634 |
$3K |
| 83655 |
|
555 |
543 |
$3K |
| 90649 |
|
1,025 |
1,023 |
$2K |
| 99406 |
|
1,053 |
967 |
$2K |
| 90710 |
|
681 |
680 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,926 |
3,896 |
$2K |
| 86580 |
|
990 |
988 |
$2K |
| 90680 |
|
307 |
306 |
$2K |
| 90698 |
|
354 |
350 |
$2K |
| 90715 |
|
446 |
446 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,580 |
3,134 |
$2K |
| 81002 |
|
6,460 |
6,389 |
$1K |
| 90716 |
|
204 |
203 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,304 |
1,199 |
$1K |
| 90713 |
|
210 |
206 |
$1K |
| 99173 |
|
8,994 |
8,970 |
$1K |
| 90647 |
|
191 |
191 |
$1K |
| 90714 |
|
253 |
253 |
$1K |
| 90696 |
|
342 |
340 |
$990.00 |
| 90621 |
|
319 |
318 |
$938.00 |
| 80061 |
Lipid panel |
922 |
917 |
$856.88 |
| 92060 |
|
550 |
550 |
$796.36 |
| 90723 |
|
110 |
110 |
$697.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,356 |
7,660 |
$691.51 |
| 90685 |
|
77 |
68 |
$677.24 |
| 90700 |
|
201 |
201 |
$567.00 |
| 90707 |
|
80 |
80 |
$558.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
59 |
58 |
$500.00 |
| 90672 |
|
243 |
243 |
$486.00 |
| 90688 |
|
220 |
219 |
$306.00 |
| 99000 |
|
187 |
187 |
$247.71 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
255 |
252 |
$225.00 |
| 99385 |
|
13 |
13 |
$212.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$204.42 |
| 90648 |
|
45 |
45 |
$180.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
91 |
$157.42 |
| 96156 |
|
818 |
810 |
$150.00 |
| 99386 |
|
30 |
30 |
$135.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
638 |
633 |
$109.43 |
| 92081 |
|
830 |
829 |
$80.00 |
| 90658 |
|
28 |
27 |
$63.00 |
| 90674 |
|
35 |
35 |
$54.00 |
| 4000F |
|
2,979 |
2,972 |
$37.76 |
| 97803 |
|
2,995 |
2,726 |
$29.47 |
| 90461 |
|
366 |
226 |
$9.74 |
| 3079F |
|
1,785 |
1,706 |
$0.00 |
| 3074F |
|
14,087 |
13,036 |
$0.00 |
| 1170F |
|
76 |
75 |
$0.00 |
| 3080F |
|
330 |
305 |
$0.00 |
| 3075F |
|
1,375 |
1,322 |
$0.00 |
| 3044F |
|
339 |
336 |
$0.00 |
| 3008F |
|
15,258 |
14,179 |
$0.00 |
| 3049F |
|
220 |
220 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
74 |
$0.00 |
| 88150 |
|
18 |
16 |
$0.00 |
| 1111F |
|
125 |
121 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
127 |
124 |
$0.00 |
| 3048F |
|
324 |
323 |
$0.00 |
| 4037F |
|
440 |
440 |
$0.00 |
| 1101F |
|
49 |
48 |
$0.00 |
| 83704 |
|
148 |
147 |
$0.00 |
| 3014F |
|
34 |
34 |
$0.00 |
| 1125F |
|
111 |
111 |
$0.00 |
| 99496 |
|
110 |
107 |
$0.00 |
| 1126F |
|
24 |
24 |
$0.00 |
| 1123F |
|
42 |
42 |
$0.00 |
| 90650 |
|
16 |
16 |
$0.00 |
| 4050F |
|
32 |
30 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
16 |
16 |
$0.00 |
| 96160 |
|
2,453 |
2,447 |
$0.00 |
| 3078F |
|
13,750 |
12,712 |
$0.00 |
| 1160F |
|
3,349 |
3,111 |
$0.00 |
| 1159F |
|
3,358 |
3,119 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,633 |
2,619 |
$0.00 |
| 3077F |
|
616 |
571 |
$0.00 |
| 0521F |
|
177 |
175 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
125 |
122 |
$0.00 |
| 0518F |
|
43 |
42 |
$0.00 |
| 3050F |
|
415 |
411 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
124 |
119 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17 |
17 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |
| 3051F |
|
383 |
380 |
$0.00 |
| 3015F |
|
121 |
114 |
$0.00 |