| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
433 |
433 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
820 |
764 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,365 |
6,304 |
$30K |
| A4268 |
Contraceptive supply, condom, female, each |
890 |
798 |
$27K |
| 96156 |
|
3,200 |
2,942 |
$22K |
| 99401 |
|
682 |
678 |
$18K |
| 3074F |
|
5,622 |
5,049 |
$13K |
| 3078F |
|
5,533 |
4,967 |
$13K |
| 3008F |
|
5,252 |
4,706 |
$10K |
| 92551 |
|
1,913 |
1,904 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
567 |
559 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
191 |
187 |
$4K |
| 99000 |
|
3,243 |
3,164 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
409 |
404 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
269 |
268 |
$3K |
| A4267 |
Contraceptive supply, condom, male, each |
287 |
267 |
$3K |
| 85018 |
|
3,141 |
3,097 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
146 |
146 |
$2K |
| 90686 |
|
567 |
565 |
$2K |
| 97802 |
|
704 |
655 |
$977.95 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
41 |
$762.28 |
| 81025 |
|
295 |
293 |
$714.36 |
| 90651 |
|
269 |
268 |
$645.00 |
| 0003A |
|
15 |
15 |
$600.00 |
| 90658 |
|
159 |
159 |
$508.70 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
118 |
117 |
$457.06 |
| 99383 |
|
87 |
78 |
$393.84 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
68 |
$244.01 |
| 81002 |
|
2,340 |
2,315 |
$220.15 |
| 81000 |
|
56 |
56 |
$142.80 |
| 3079F |
|
142 |
126 |
$140.00 |
| 99382 |
|
18 |
12 |
$126.66 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$121.02 |
| 96127 |
|
939 |
933 |
$114.88 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
136 |
131 |
$113.93 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,219 |
1,063 |
$81.10 |
| 90713 |
|
13 |
13 |
$72.00 |
| 92552 |
|
67 |
67 |
$45.92 |
| 90715 |
|
13 |
13 |
$45.00 |
| 90716 |
|
12 |
12 |
$36.00 |
| 90734 |
|
12 |
12 |
$36.00 |
| 99173 |
|
1,328 |
1,320 |
$29.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
537 |
534 |
$28.98 |
| 97803 |
|
308 |
280 |
$25.85 |
| 36410 |
|
1,431 |
1,397 |
$21.60 |
| 83655 |
|
45 |
45 |
$10.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
422 |
411 |
$9.00 |
| 36415 |
Collection of venous blood by venipuncture |
354 |
342 |
$4.50 |
| 99070 |
|
21 |
21 |
$0.90 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
27 |
$0.01 |
| 82962 |
|
167 |
149 |
$0.00 |
| 96151 |
|
85 |
79 |
$0.00 |
| 96150 |
|
69 |
68 |
$0.00 |
| 99385 |
|
29 |
29 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
79 |
$0.00 |
| 82270 |
|
51 |
51 |
$0.00 |
| 88150 |
|
16 |
16 |
$0.00 |
| 99386 |
|
14 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
72 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
304 |
301 |
$0.00 |
| 92081 |
|
481 |
473 |
$0.00 |
| 3725F |
|
106 |
106 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,275 |
1,125 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |