| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,564 |
7,705 |
$875K |
| 99215 |
Prolong outpt/office vis |
7,233 |
1,452 |
$612K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,336 |
7,584 |
$612K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
7,016 |
3,180 |
$341K |
| 99354 |
|
3,939 |
1,067 |
$273K |
| 99493 |
|
2,267 |
1,727 |
$190K |
| 99494 |
|
2,031 |
1,558 |
$167K |
| 99199 |
Unlisted special service, procedure or report |
29,401 |
15,514 |
$145K |
| 82542 |
|
2,388 |
1,145 |
$105K |
| 99051 |
|
2,474 |
923 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
240 |
212 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
725 |
574 |
$19K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,160 |
722 |
$18K |
| 82570 |
|
2,388 |
1,145 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,331 |
789 |
$14K |
| 83986 |
|
2,388 |
1,145 |
$10K |
| 99406 |
|
1,246 |
645 |
$10K |
| 99408 |
|
368 |
330 |
$9K |
| 81025 |
|
1,366 |
891 |
$8K |
| 99492 |
|
56 |
56 |
$7K |
| 81005 |
|
2,388 |
1,145 |
$6K |
| 95886 |
|
69 |
65 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,530 |
2,723 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
34 |
$3K |
| 99490 |
Ccm add 20min |
301 |
273 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
204 |
202 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
27 |
$2K |
| 95912 |
|
13 |
13 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
26 |
$2K |
| 96127 |
|
300 |
234 |
$1K |
| 81002 |
|
595 |
408 |
$970.12 |
| G9919 |
Screening performed and positive and provision of recommendations |
68 |
49 |
$951.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
66 |
$869.50 |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
916 |
284 |
$711.19 |
| 95908 |
|
18 |
14 |
$674.41 |
| 97760 |
|
71 |
59 |
$310.10 |
| 86703 |
|
12 |
12 |
$116.00 |
| 90688 |
|
134 |
114 |
$98.48 |
| 99484 |
|
17 |
16 |
$79.79 |
| 96160 |
|
50 |
46 |
$68.52 |
| 82962 |
|
18 |
12 |
$39.39 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
38 |
24 |
$6.00 |
| 3075F |
|
717 |
428 |
$1.98 |
| 3008F |
|
2,714 |
1,506 |
$0.02 |
| 3074F |
|
1,598 |
1,016 |
$0.01 |
| 3078F |
|
1,515 |
908 |
$0.01 |
| 3080F |
|
311 |
233 |
$0.00 |
| 3079F |
|
862 |
564 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
319 |
218 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
85 |
78 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
37 |
31 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
85 |
68 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
19 |
12 |
$0.00 |
| 1034F |
|
31 |
30 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
21 |
20 |
$0.00 |
| 3077F |
|
393 |
276 |
$0.00 |
| 90756 |
|
38 |
36 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
38 |
33 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
252 |
170 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
37 |
30 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
35 |
28 |
$0.00 |
| 3725F |
|
15 |
15 |
$0.00 |