| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132,834 |
77,634 |
$393K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,250 |
7,102 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,535 |
13,162 |
$85K |
| 99385 |
|
12,338 |
8,515 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,619 |
7,214 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
11,746 |
6,368 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,522 |
4,445 |
$54K |
| 99386 |
|
6,652 |
4,769 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,911 |
1,520 |
$22K |
| 3074F |
|
101,508 |
54,559 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23,563 |
14,885 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,319 |
1,150 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
27,824 |
24,571 |
$16K |
| 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 |
8,306 |
6,769 |
$15K |
| 99349 |
|
1,010 |
683 |
$11K |
| 99387 |
|
472 |
426 |
$8K |
| 99397 |
|
2,327 |
1,284 |
$7K |
| 99383 |
|
773 |
554 |
$5K |
| 0012A |
|
155 |
153 |
$5K |
| 3075F |
|
11,121 |
6,094 |
$4K |
| 0011A |
|
175 |
140 |
$4K |
| 99384 |
|
413 |
297 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,659 |
1,523 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,596 |
1,292 |
$2K |
| 99350 |
Prolong home eval add 15m |
745 |
603 |
$2K |
| 1159F |
|
102,935 |
50,612 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
46 |
$1K |
| 99382 |
|
95 |
83 |
$953.67 |
| 0001A |
|
37 |
37 |
$892.93 |
| 93000 |
|
2,478 |
2,011 |
$818.64 |
| 99442 |
|
263 |
204 |
$443.84 |
| 99205 |
Prolong outpt/office vis |
22 |
20 |
$422.82 |
| 3079F |
|
31,896 |
16,287 |
$347.55 |
| 86580 |
|
447 |
216 |
$143.14 |
| 3078F |
|
78,183 |
42,020 |
$138.85 |
| 3044F |
|
7,139 |
2,903 |
$132.61 |
| 1160F |
|
102,708 |
50,612 |
$127.68 |
| 0002A |
|
12 |
12 |
$96.11 |
| 90619 |
|
558 |
518 |
$46.00 |
| 90677 |
|
368 |
320 |
$30.08 |
| 90686 |
|
8,458 |
7,153 |
$28.12 |
| 90670 |
|
4,824 |
3,070 |
$20.30 |
| 90648 |
|
1,729 |
1,212 |
$10.00 |
| 90697 |
|
298 |
244 |
$8.00 |
| 81002 |
|
144 |
143 |
$1.00 |
| G0008 |
Administration of influenza virus vaccine |
87 |
87 |
$0.47 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
212 |
194 |
$0.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
208 |
182 |
$0.13 |
| 83655 |
|
273 |
258 |
$0.10 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.08 |
| 93922 |
|
76 |
74 |
$0.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$0.06 |
| 90633 |
|
5,762 |
3,612 |
$0.05 |
| 90651 |
|
3,984 |
2,252 |
$0.02 |
| 90620 |
|
1,499 |
751 |
$0.01 |
| 99358 |
Prolong nursin fac eval 15m |
41 |
12 |
$0.01 |
| 90715 |
|
1,167 |
580 |
$0.01 |
| 3049F |
|
3,687 |
2,433 |
$0.00 |
| 1170F |
|
184 |
165 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12,133 |
4,439 |
$0.00 |
| 90716 |
|
1,412 |
860 |
$0.00 |
| 3048F |
|
3,591 |
2,216 |
$0.00 |
| 3017F |
|
542 |
471 |
$0.00 |
| 90723 |
|
383 |
284 |
$0.00 |
| 3008F |
|
4,634 |
3,669 |
$0.00 |
| 1126F |
|
198 |
181 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,858 |
411 |
$0.00 |
| 1111F |
|
3,185 |
2,287 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
5,870 |
1,398 |
$0.00 |
| 1157F |
|
176 |
162 |
$0.00 |
| 91301 |
|
126 |
113 |
$0.00 |
| 90680 |
|
375 |
287 |
$0.00 |
| 3080F |
|
69 |
59 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
161 |
159 |
$0.00 |
| 90696 |
|
224 |
139 |
$0.00 |
| 3061F |
|
3,465 |
676 |
$0.00 |
| 3014F |
|
95 |
75 |
$0.00 |
| 90688 |
|
684 |
54 |
$0.00 |
| 90744 |
|
273 |
112 |
$0.00 |
| 90698 |
|
40 |
40 |
$0.00 |
| 90674 |
|
60 |
58 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
179 |
14 |
$0.00 |
| 3050F |
|
1,921 |
1,190 |
$0.00 |
| 90734 |
|
1,483 |
739 |
$0.00 |
| 99071 |
|
19,564 |
4,926 |
$0.00 |
| 90713 |
|
1,131 |
597 |
$0.00 |
| 90681 |
|
1,475 |
1,022 |
$0.00 |
| 90710 |
|
1,224 |
660 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,442 |
1,408 |
$0.00 |
| 3077F |
|
63 |
63 |
$0.00 |
| 99499 |
|
53 |
44 |
$0.00 |
| 90700 |
|
55 |
51 |
$0.00 |
| 90707 |
|
351 |
183 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
522 |
178 |
$0.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
85 |
19 |
$0.00 |
| 2014F |
|
237 |
218 |
$0.00 |
| 91300 |
|
37 |
30 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$0.00 |
| 99080 |
|
418 |
31 |
$0.00 |
| 90685 |
|
43 |
43 |
$0.00 |