| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,422 |
5,919 |
$117K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
222 |
216 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,067 |
2,848 |
$21K |
| 99383 |
|
91 |
81 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,277 |
1,175 |
$8K |
| 99384 |
|
74 |
74 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
308 |
308 |
$5K |
| 92551 |
|
2,091 |
2,082 |
$3K |
| 97802 |
|
4,032 |
3,762 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
160 |
159 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,786 |
2,745 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
87 |
82 |
$2K |
| 96156 |
|
818 |
812 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
77 |
77 |
$1K |
| G9920 |
Screening performed and negative |
2,127 |
2,061 |
$1K |
| 90686 |
|
183 |
183 |
$907.98 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
55 |
55 |
$699.60 |
| 90633 |
|
81 |
81 |
$603.00 |
| 90734 |
|
128 |
128 |
$603.00 |
| 90649 |
|
117 |
117 |
$540.00 |
| 99385 |
|
27 |
27 |
$287.06 |
| 90713 |
|
55 |
55 |
$279.00 |
| 96127 |
|
47 |
47 |
$223.29 |
| 90715 |
|
31 |
31 |
$207.00 |
| A4267 |
Contraceptive supply, condom, male, each |
12 |
12 |
$133.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
152 |
151 |
$129.90 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
393 |
392 |
$112.20 |
| 86580 |
|
44 |
42 |
$95.95 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
207 |
206 |
$60.00 |
| 90620 |
|
13 |
13 |
$54.00 |
| 81025 |
|
25 |
25 |
$50.52 |
| 81002 |
|
15 |
15 |
$25.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
299 |
268 |
$22.30 |
| 99000 |
|
196 |
189 |
$6.54 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
26 |
24 |
$6.24 |
| 81003 |
|
26 |
26 |
$2.98 |
| 99173 |
|
1,814 |
1,801 |
$2.30 |
| 3078F |
|
2,943 |
2,780 |
$0.00 |
| 1159F |
|
1,571 |
1,487 |
$0.00 |
| 96160 |
|
3,132 |
3,010 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,297 |
3,247 |
$0.00 |
| 1160F |
|
1,258 |
1,203 |
$0.00 |
| 4004F |
|
2,712 |
2,563 |
$0.00 |
| 99408 |
|
1,909 |
1,861 |
$0.00 |
| 99442 |
|
1,126 |
1,071 |
$0.00 |
| 3077F |
|
391 |
366 |
$0.00 |
| 99448 |
|
66 |
63 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
104 |
99 |
$0.00 |
| 99446 |
|
635 |
586 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 83655 |
|
14 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
75 |
75 |
$0.00 |
| 3051F |
|
15 |
14 |
$0.00 |
| 3074F |
|
3,699 |
3,465 |
$0.00 |
| 99447 |
|
471 |
449 |
$0.00 |
| 1036F |
|
3,700 |
3,477 |
$0.00 |
| 99441 |
|
1,563 |
1,479 |
$0.00 |
| 96161 |
|
370 |
360 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
2,741 |
2,571 |
$0.00 |
| 3075F |
|
682 |
650 |
$0.00 |
| 3008F |
|
2,907 |
2,681 |
$0.00 |
| 3079F |
|
1,605 |
1,518 |
$0.00 |
| 1126F |
|
180 |
172 |
$0.00 |
| 3080F |
|
114 |
111 |
$0.00 |
| 87110 |
|
14 |
13 |
$0.00 |
| 99443 |
|
142 |
135 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
260 |
260 |
$0.00 |
| 88142 |
|
16 |
15 |
$0.00 |
| 3044F |
|
35 |
34 |
$0.00 |
| 1125F |
|
82 |
81 |
$0.00 |
| 85018 |
|
15 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
41 |
$0.00 |