| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
6,020 |
5,427 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,548 |
5,058 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,307 |
1,217 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
577 |
489 |
$8K |
| 99205 |
Prolong outpt/office vis |
339 |
339 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,079 |
783 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
145 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
135 |
$3K |
| 99000 |
|
627 |
572 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
58 |
58 |
$1K |
| 99305 |
|
12 |
12 |
$774.27 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
98 |
98 |
$574.51 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
23 |
$537.47 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$499.01 |
| 99443 |
|
1,051 |
906 |
$473.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
90 |
81 |
$390.34 |
| 99454 |
|
24 |
24 |
$270.00 |
| 90658 |
|
55 |
54 |
$242.71 |
| 99497 |
|
34 |
34 |
$231.72 |
| 99442 |
|
278 |
262 |
$184.63 |
| 99457 |
|
49 |
49 |
$140.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
87 |
$122.42 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
29 |
$53.15 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
48 |
48 |
$48.02 |
| 99458 |
|
12 |
12 |
$47.28 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
113 |
113 |
$31.69 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$28.20 |
| 93000 |
|
16 |
16 |
$16.04 |
| G8482 |
Influenza immunization administered or previously received |
52 |
52 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
69 |
$0.00 |
| 3078F |
|
241 |
233 |
$0.00 |
| 3077F |
|
303 |
291 |
$0.00 |
| 99051 |
|
156 |
153 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
14 |
$0.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
40 |
40 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 3080F |
|
148 |
145 |
$0.00 |
| 3074F |
|
204 |
199 |
$0.00 |
| 3351F |
|
105 |
105 |
$0.00 |
| 3079F |
|
257 |
249 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
130 |
130 |
$0.00 |
| 3008F |
|
985 |
930 |
$0.00 |
| 3075F |
|
141 |
138 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
43 |
43 |
$0.00 |
| P3000 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision |
15 |
14 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
46 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
15 |
15 |
$0.00 |
| 99386 |
|
17 |
17 |
$0.00 |