| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,902 |
19,238 |
$372K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,297 |
3,281 |
$104K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,172 |
2,159 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,094 |
5,571 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,326 |
2,305 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
851 |
845 |
$21K |
| 90682 |
|
375 |
375 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
850 |
844 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,660 |
1,622 |
$18K |
| 92082 |
|
1,028 |
1,028 |
$15K |
| 99385 |
|
341 |
341 |
$14K |
| 3074F |
|
10,628 |
9,154 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
341 |
341 |
$11K |
| 92552 |
|
1,651 |
1,647 |
$10K |
| 3078F |
|
8,328 |
7,271 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
11,677 |
11,546 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
789 |
775 |
$7K |
| 99401 |
|
1,908 |
1,884 |
$7K |
| 93000 |
|
570 |
566 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
289 |
282 |
$7K |
| 90686 |
|
1,426 |
1,421 |
$6K |
| 99441 |
|
406 |
366 |
$5K |
| 3079F |
|
4,203 |
3,843 |
$5K |
| 3080F |
|
2,021 |
1,818 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
105 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
143 |
143 |
$3K |
| 3077F |
|
1,806 |
1,601 |
$3K |
| 99386 |
|
79 |
79 |
$3K |
| 82962 |
|
4,099 |
3,448 |
$3K |
| 99397 |
|
89 |
89 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,861 |
5,292 |
$3K |
| 90461 |
|
379 |
376 |
$2K |
| 99173 |
|
564 |
559 |
$2K |
| 97802 |
|
488 |
488 |
$2K |
| 3075F |
|
1,883 |
1,760 |
$2K |
| 88141 |
|
196 |
195 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
75 |
$997.52 |
| 92551 |
|
451 |
451 |
$945.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
26 |
$570.86 |
| 94760 |
|
5,914 |
5,271 |
$528.29 |
| 90662 |
|
27 |
27 |
$512.49 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
30 |
30 |
$502.04 |
| 90688 |
|
29 |
29 |
$468.49 |
| H0001 |
Alcohol and/or drug assessment |
4,141 |
3,820 |
$415.35 |
| 90651 |
|
213 |
213 |
$414.49 |
| 87110 |
|
30 |
29 |
$388.24 |
| 1159F |
|
410 |
352 |
$260.00 |
| 90734 |
|
75 |
75 |
$236.21 |
| 1160F |
|
411 |
353 |
$125.01 |
| 81000 |
|
51 |
51 |
$73.76 |
| 92250 |
|
34 |
34 |
$45.13 |
| 82270 |
|
21 |
20 |
$31.40 |
| 90633 |
|
27 |
27 |
$30.00 |
| 1170F |
|
30 |
30 |
$25.00 |
| 3049F |
|
88 |
88 |
$10.00 |
| 3048F |
|
212 |
212 |
$8.00 |
| 3008F |
|
24,104 |
20,175 |
$0.58 |
| 1000F |
|
8,485 |
7,663 |
$0.00 |
| 4000F |
|
388 |
356 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
497 |
496 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15,374 |
13,105 |
$0.00 |
| 1036F |
|
7,590 |
6,850 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
626 |
559 |
$0.00 |
| 3017F |
|
132 |
128 |
$0.00 |
| 3061F |
|
16 |
16 |
$0.00 |
| 0509F |
|
44 |
44 |
$0.00 |
| 3014F |
|
171 |
171 |
$0.00 |
| 1101F |
|
44 |
44 |
$0.00 |
| 1034F |
|
41 |
40 |
$0.00 |
| 3044F |
|
40 |
40 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,541 |
2,237 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15,705 |
13,347 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,584 |
2,369 |
$0.00 |
| 3725F |
|
7,941 |
7,191 |
$0.00 |
| 3016F |
|
4,083 |
3,838 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| 0518F |
|
44 |
44 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
70 |
69 |
$0.00 |
| 2022F |
|
98 |
97 |
$0.00 |
| 1158F |
|
32 |
32 |
$0.00 |
| 3050F |
|
60 |
59 |
$0.00 |
| 3015F |
|
82 |
81 |
$0.00 |
| 1090F |
|
44 |
44 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
29 |
28 |
$0.00 |
| 3045F |
|
14 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
29 |
$0.00 |