| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,781 |
25,075 |
$3.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,669 |
20,333 |
$1.05M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,450 |
2,401 |
$153K |
| 90750 |
|
741 |
740 |
$118K |
| 90677 |
|
383 |
382 |
$107K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,028 |
7,578 |
$106K |
| 99397 |
|
1,656 |
1,614 |
$102K |
| 90686 |
|
4,369 |
4,334 |
$81K |
| 91320 |
|
604 |
596 |
$69K |
| 90746 |
|
617 |
613 |
$39K |
| 90732 |
|
285 |
284 |
$30K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,667 |
3,544 |
$26K |
| 90480 |
|
588 |
585 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
205 |
$17K |
| 0013A |
|
428 |
427 |
$13K |
| 0134A |
|
345 |
344 |
$13K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,297 |
4,958 |
$12K |
| 90679 |
|
27 |
27 |
$8K |
| 97802 |
|
6,937 |
6,434 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
318 |
243 |
$4K |
| 0124A |
|
130 |
130 |
$4K |
| 0064A |
|
75 |
75 |
$3K |
| 90651 |
|
12 |
12 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
413 |
331 |
$3K |
| 99441 |
|
187 |
158 |
$2K |
| 99386 |
|
37 |
37 |
$2K |
| 99401 |
|
1,433 |
1,389 |
$2K |
| 0012A |
|
49 |
49 |
$2K |
| 90715 |
|
60 |
60 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
39 |
$2K |
| 0011A |
|
40 |
40 |
$1K |
| 90688 |
|
67 |
67 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
77 |
$915.08 |
| 99406 |
|
65 |
62 |
$823.40 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
231 |
225 |
$757.98 |
| 99387 |
|
12 |
12 |
$741.60 |
| 0094A |
|
13 |
13 |
$495.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
125 |
121 |
$349.20 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
604 |
586 |
$329.53 |
| 82948 |
|
4,901 |
4,634 |
$198.78 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15,182 |
10,050 |
$165.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
102 |
75 |
$125.49 |
| 82272 |
|
896 |
884 |
$88.82 |
| 88141 |
|
206 |
201 |
$88.16 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,409 |
3,681 |
$45.00 |
| 1159F |
|
5,223 |
4,878 |
$40.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
2,286 |
1,613 |
$30.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
228 |
225 |
$29.66 |
| 81000 |
|
1,072 |
925 |
$10.86 |
| 91301 |
|
423 |
418 |
$0.21 |
| 82270 |
|
1,290 |
1,263 |
$0.19 |
| H0001 |
Alcohol and/or drug assessment |
157 |
156 |
$0.13 |
| 91309 |
|
13 |
13 |
$0.03 |
| 90863 |
|
311 |
285 |
$0.01 |
| 99408 |
|
29 |
26 |
$0.01 |
| 3008F |
|
22,764 |
15,180 |
$0.00 |
| 4010F |
|
3,012 |
2,893 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
30 |
30 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
181 |
176 |
$0.00 |
| 1157F |
|
376 |
351 |
$0.00 |
| 1125F |
|
291 |
266 |
$0.00 |
| 1220F |
|
63 |
60 |
$0.00 |
| 1170F |
|
355 |
330 |
$0.00 |
| 3074F |
|
43 |
42 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
80 |
79 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
165 |
163 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| 91306 |
|
75 |
75 |
$0.00 |
| 1126F |
|
21 |
21 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
205 |
203 |
$0.00 |
| 4013F |
|
228 |
225 |
$0.00 |
| 91312 |
|
75 |
75 |
$0.00 |
| 3078F |
|
43 |
42 |
$0.00 |
| 2022F |
|
165 |
142 |
$0.00 |
| 3016F |
|
99 |
97 |
$0.00 |
| 0518F |
|
284 |
261 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
210 |
204 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
155 |
153 |
$0.00 |
| 3288F |
|
304 |
281 |
$0.00 |
| 91313 |
|
285 |
281 |
$0.00 |
| 1158F |
|
37 |
37 |
$0.00 |
| 3725F |
|
201 |
200 |
$0.00 |
| 1160F |
|
339 |
313 |
$0.00 |
| 2028F |
|
14 |
14 |
$0.00 |
| 99080 |
|
385 |
12 |
$0.00 |
| 96160 |
|
57 |
57 |
$0.00 |
| 1494F |
|
26 |
26 |
$0.00 |
| 1090F |
|
16 |
16 |
$0.00 |