| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
4,089 |
3,621 |
$195K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,130 |
1,115 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,098 |
12,054 |
$43K |
| 99381 |
|
349 |
322 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,399 |
6,229 |
$15K |
| 92551 |
|
2,400 |
2,390 |
$11K |
| 90670 |
|
1,168 |
1,154 |
$5K |
| 90648 |
|
1,144 |
1,124 |
$5K |
| 90686 |
|
1,416 |
1,403 |
$4K |
| 90723 |
|
735 |
730 |
$4K |
| 90672 |
|
296 |
293 |
$3K |
| 90734 |
|
250 |
238 |
$3K |
| 90651 |
|
464 |
460 |
$3K |
| 90680 |
|
389 |
389 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
912 |
895 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,392 |
1,370 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,425 |
1,407 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
596 |
569 |
$2K |
| 86580 |
|
187 |
185 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
128 |
$1K |
| 90681 |
|
240 |
231 |
$1K |
| 90756 |
|
131 |
102 |
$1K |
| 93000 |
|
328 |
323 |
$1K |
| 90716 |
|
542 |
536 |
$1K |
| 90707 |
|
519 |
513 |
$992.01 |
| 90633 |
|
413 |
408 |
$936.00 |
| 99442 |
|
2,112 |
1,971 |
$645.87 |
| 90700 |
|
243 |
236 |
$617.67 |
| 90715 |
|
121 |
120 |
$393.75 |
| 90696 |
|
174 |
172 |
$364.80 |
| 90620 |
|
83 |
83 |
$342.00 |
| 99382 |
|
12 |
12 |
$303.26 |
| 99441 |
|
2,083 |
1,812 |
$277.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
255 |
255 |
$206.64 |
| 99384 |
|
12 |
12 |
$195.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
326 |
282 |
$185.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
103 |
98 |
$101.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
71 |
$81.96 |
| 90671 |
|
13 |
13 |
$81.00 |
| 99173 |
|
2,359 |
2,349 |
$61.54 |
| 99383 |
|
32 |
30 |
$59.71 |
| 90713 |
|
14 |
14 |
$54.00 |
| 90744 |
|
14 |
14 |
$54.00 |
| 99443 |
|
94 |
92 |
$54.00 |
| 81003 |
|
124 |
113 |
$23.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
95 |
89 |
$22.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
63 |
44 |
$8.26 |
| 99499 |
|
3,737 |
3,641 |
$0.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,069 |
1,061 |
$0.01 |
| 97802 |
|
1,078 |
1,069 |
$0.01 |
| 1160F |
|
4,678 |
4,542 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
218 |
217 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
10,536 |
9,953 |
$0.00 |
| 3078F |
|
8,229 |
7,873 |
$0.00 |
| 3015F |
|
111 |
111 |
$0.00 |
| 3077F |
|
3,008 |
2,879 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,303 |
1,292 |
$0.00 |
| 90461 |
|
622 |
617 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
66 |
66 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
18 |
18 |
$0.00 |
| 81002 |
|
196 |
184 |
$0.00 |
| 1159F |
|
104 |
104 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
12 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 3075F |
|
1,875 |
1,830 |
$0.00 |
| 3008F |
|
18,835 |
17,812 |
$0.00 |
| 3074F |
|
9,108 |
8,678 |
$0.00 |
| 1126F |
|
3,641 |
3,501 |
$0.00 |
| 3079F |
|
4,012 |
3,865 |
$0.00 |
| 1220F |
|
1,296 |
1,291 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
154 |
$0.00 |
| 1125F |
|
4,934 |
4,730 |
$0.00 |
| 3080F |
|
1,675 |
1,622 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 3353F |
|
43 |
43 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 0545F |
|
18 |
18 |
$0.00 |
| 3044F |
|
15 |
15 |
$0.00 |
| 4037F |
|
17 |
17 |
$0.00 |