| Code | Description | Claims | Beneficiaries | Total Paid |
| 11043 |
|
1,219 |
512 |
$125K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,400 |
6,347 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,861 |
2,776 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,860 |
4,818 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,631 |
5,535 |
$86K |
| 99381 |
|
837 |
798 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,636 |
5,458 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,679 |
10,286 |
$43K |
| 85018 |
|
15,629 |
15,535 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,897 |
9,011 |
$29K |
| 92551 |
|
10,993 |
10,945 |
$28K |
| 92552 |
|
1,924 |
1,922 |
$21K |
| 96156 |
|
1,400 |
1,385 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,835 |
8,808 |
$10K |
| 90670 |
|
2,617 |
2,602 |
$9K |
| 90723 |
|
1,782 |
1,770 |
$8K |
| 0071A |
|
181 |
178 |
$7K |
| 0072A |
|
166 |
162 |
$6K |
| 90680 |
|
1,234 |
1,228 |
$6K |
| 90686 |
|
4,936 |
4,913 |
$6K |
| 97802 |
|
9,736 |
9,662 |
$5K |
| 90648 |
|
1,338 |
1,330 |
$5K |
| 85014 |
|
2,070 |
1,977 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
542 |
539 |
$3K |
| 0003A |
|
71 |
71 |
$3K |
| 0001A |
|
63 |
63 |
$3K |
| 0002A |
|
61 |
61 |
$2K |
| 99000 |
|
2,554 |
2,518 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
613 |
605 |
$2K |
| 83655 |
|
741 |
734 |
$2K |
| 0124A |
|
49 |
49 |
$2K |
| 90633 |
|
1,474 |
1,462 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
450 |
440 |
$2K |
| 90710 |
|
1,352 |
1,339 |
$2K |
| 99460 |
|
105 |
105 |
$2K |
| 81000 |
|
669 |
668 |
$2K |
| 90734 |
|
1,369 |
1,358 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
22 |
12 |
$2K |
| 90644 |
|
165 |
165 |
$1K |
| 99173 |
|
608 |
605 |
$1K |
| 81002 |
|
5,479 |
5,427 |
$1K |
| 90461 |
|
4,198 |
4,134 |
$1K |
| 99384 |
|
13 |
13 |
$885.80 |
| 90715 |
|
362 |
361 |
$870.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
494 |
492 |
$784.00 |
| 90649 |
|
1,570 |
1,566 |
$783.00 |
| 0154A |
|
18 |
18 |
$720.00 |
| 90651 |
|
78 |
78 |
$702.00 |
| 90697 |
|
313 |
311 |
$674.91 |
| 3008F |
|
4,996 |
4,860 |
$630.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
9,174 |
9,138 |
$488.32 |
| 1111F |
|
892 |
857 |
$360.17 |
| 90620 |
|
490 |
490 |
$342.00 |
| 90696 |
|
294 |
293 |
$243.00 |
| 87110 |
|
13 |
13 |
$201.76 |
| 3074F |
|
3,426 |
3,343 |
$158.10 |
| 90700 |
|
181 |
177 |
$141.58 |
| 90621 |
|
184 |
183 |
$123.00 |
| 91320 |
|
40 |
39 |
$115.00 |
| 1000F |
|
3,538 |
3,467 |
$105.00 |
| 1126F |
|
3,244 |
3,168 |
$105.00 |
| 82947 |
|
41 |
40 |
$91.26 |
| 90688 |
|
423 |
421 |
$81.00 |
| 1158F |
|
4,088 |
3,956 |
$70.00 |
| 3077F |
|
224 |
211 |
$70.00 |
| 1160F |
|
4,326 |
4,197 |
$70.00 |
| 99462 |
|
46 |
38 |
$54.71 |
| 82465 |
|
12 |
12 |
$46.20 |
| 99408 |
|
2,743 |
2,722 |
$35.14 |
| 3075F |
|
1,055 |
1,042 |
$35.00 |
| 1125F |
|
1,187 |
1,141 |
$35.00 |
| 1159F |
|
4,320 |
4,191 |
$35.00 |
| 3725F |
|
1,932 |
1,917 |
$35.00 |
| 3078F |
|
4,510 |
4,392 |
$35.00 |
| 97803 |
|
222 |
222 |
$24.75 |
| 87490 |
|
2,547 |
2,506 |
$9.25 |
| 90657 |
|
65 |
65 |
$9.00 |
| 90658 |
|
223 |
223 |
$9.00 |
| 82270 |
|
391 |
389 |
$0.43 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
197 |
194 |
$0.16 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
206 |
191 |
$0.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
150 |
147 |
$0.14 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
282 |
281 |
$0.05 |
| 96127 |
|
128 |
126 |
$0.03 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
25 |
25 |
$0.01 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
345 |
343 |
$0.01 |
| 1030F |
|
2,728 |
2,661 |
$0.00 |
| 3079F |
|
256 |
252 |
$0.00 |
| 3044F |
|
1,085 |
1,065 |
$0.00 |
| 1170F |
|
1,345 |
1,309 |
$0.00 |
| 3061F |
|
268 |
262 |
$0.00 |
| 3072F |
|
42 |
40 |
$0.00 |
| 4010F |
|
399 |
389 |
$0.00 |
| 3049F |
|
106 |
106 |
$0.00 |
| 90748 |
|
645 |
644 |
$0.00 |
| 3048F |
|
166 |
166 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
181 |
169 |
$0.00 |
| 3014F |
|
14 |
14 |
$0.00 |
| 90677 |
|
112 |
108 |
$0.00 |
| 91301 |
|
144 |
143 |
$0.00 |
| 36416 |
|
284 |
284 |
$0.00 |
| 3017F |
|
72 |
71 |
$0.00 |
| 88150 |
|
24 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |
| 91300 |
|
558 |
543 |
$0.00 |
| 4040F |
|
305 |
294 |
$0.00 |
| 82948 |
|
138 |
137 |
$0.00 |
| 2028F |
|
332 |
326 |
$0.00 |
| 90685 |
|
156 |
156 |
$0.00 |
| G9781 |
Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) |
81 |
79 |
$0.00 |
| 90671 |
|
43 |
43 |
$0.00 |
| 2022F |
|
19 |
19 |
$0.00 |