| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,716 |
16,321 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,946 |
5,539 |
$30K |
| 92552 |
|
2,086 |
2,078 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
314 |
308 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,024 |
1,979 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
260 |
259 |
$6K |
| 97802 |
|
3,591 |
3,303 |
$6K |
| 97803 |
|
2,177 |
2,158 |
$5K |
| 90658 |
|
1,130 |
1,121 |
$5K |
| 3008F |
|
9,418 |
8,753 |
$4K |
| 3074F |
|
6,772 |
6,321 |
$4K |
| 3078F |
|
6,643 |
6,227 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
80 |
$3K |
| 85018 |
|
3,435 |
3,396 |
$3K |
| 99000 |
|
6,597 |
6,375 |
$2K |
| 1160F |
|
6,947 |
6,449 |
$2K |
| 1159F |
|
7,366 |
6,836 |
$2K |
| 86580 |
|
305 |
305 |
$2K |
| 81003 |
|
3,511 |
3,434 |
$906.87 |
| 99173 |
|
1,708 |
1,701 |
$874.17 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
236 |
235 |
$705.26 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
374 |
260 |
$607.52 |
| 88150 |
|
24 |
24 |
$560.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
76 |
76 |
$447.50 |
| 3079F |
|
1,156 |
1,088 |
$427.50 |
| 3075F |
|
364 |
352 |
$252.59 |
| 99406 |
|
332 |
332 |
$218.02 |
| 3077F |
|
573 |
536 |
$193.10 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
425 |
391 |
$188.16 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
92 |
85 |
$184.44 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
455 |
425 |
$174.75 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$171.70 |
| 90649 |
|
26 |
26 |
$136.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
578 |
577 |
$106.64 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$94.72 |
| 96127 |
|
822 |
818 |
$91.48 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
197 |
195 |
$89.83 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
27 |
$50.00 |
| 90657 |
|
14 |
14 |
$27.00 |
| 99483 |
Prolong outpt/office vis |
14 |
14 |
$25.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
76 |
71 |
$23.61 |
| 94760 |
|
96 |
94 |
$22.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$20.97 |
| 1157F |
|
14 |
14 |
$15.00 |
| 0521F |
|
285 |
285 |
$15.00 |
| 1158F |
|
14 |
14 |
$15.00 |
| 90734 |
|
12 |
12 |
$14.00 |
| J7131 |
Hypertonic saline solution, 1 ml |
82 |
77 |
$12.69 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
28 |
28 |
$9.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
69 |
65 |
$9.35 |
| 82947 |
|
36 |
36 |
$2.97 |
| 81025 |
|
14 |
13 |
$2.80 |
| 3011F |
|
1,313 |
1,300 |
$0.00 |
| 3048F |
|
306 |
302 |
$0.00 |
| 3044F |
|
721 |
712 |
$0.00 |
| 1126F |
|
59 |
59 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| 3061F |
|
99 |
96 |
$0.00 |
| 3049F |
|
25 |
24 |
$0.00 |
| 1125F |
|
44 |
44 |
$0.00 |
| 3080F |
|
17 |
17 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 3725F |
|
774 |
771 |
$0.00 |
| 99409 |
|
269 |
269 |
$0.00 |
| 99499 |
|
15 |
15 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |
| 3015F |
|
14 |
14 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |