| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,053 |
16,120 |
$2.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,233 |
14,961 |
$1.81M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,429 |
2,286 |
$313K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,429 |
1,373 |
$177K |
| 92552 |
|
3,038 |
3,012 |
$103K |
| 94010 |
|
3,461 |
3,432 |
$96K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,364 |
5,029 |
$92K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
446 |
440 |
$63K |
| 93000 |
|
4,040 |
3,980 |
$50K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,068 |
4,025 |
$30K |
| 99051 |
|
4,729 |
4,097 |
$29K |
| 90746 |
|
421 |
420 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
631 |
531 |
$24K |
| 99406 |
|
2,642 |
2,619 |
$22K |
| 90688 |
|
1,132 |
1,129 |
$21K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,296 |
2,285 |
$20K |
| 90756 |
|
701 |
700 |
$19K |
| 99497 |
|
292 |
286 |
$17K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
473 |
464 |
$13K |
| 90651 |
|
96 |
96 |
$12K |
| 3074F |
|
5,643 |
4,466 |
$12K |
| 3078F |
|
4,935 |
3,951 |
$10K |
| H0001 |
Alcohol and/or drug assessment |
1,812 |
1,793 |
$9K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
183 |
154 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$8K |
| 90686 |
|
471 |
469 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
6,914 |
6,745 |
$5K |
| 90674 |
|
184 |
183 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,053 |
1,052 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$4K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,841 |
1,832 |
$3K |
| 90658 |
|
178 |
177 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
218 |
205 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
54 |
$3K |
| 3079F |
|
1,664 |
1,433 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
289 |
289 |
$2K |
| 99490 |
Ccm add 20min |
143 |
143 |
$2K |
| 96127 |
|
668 |
666 |
$2K |
| 36410 |
|
152 |
150 |
$2K |
| 81000 |
|
589 |
569 |
$2K |
| S9452 |
Nutrition classes, non-physician provider, per session |
573 |
572 |
$2K |
| 3075F |
|
803 |
724 |
$1K |
| 97802 |
|
2,666 |
2,652 |
$951.75 |
| 3080F |
|
552 |
480 |
$943.00 |
| 3077F |
|
563 |
480 |
$906.50 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
1,164 |
924 |
$748.79 |
| 99173 |
|
1,021 |
1,010 |
$666.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
19 |
$331.55 |
| 3044F |
|
124 |
121 |
$281.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,861 |
2,846 |
$240.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,950 |
2,911 |
$204.50 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
56 |
46 |
$117.29 |
| 98960 |
|
39 |
35 |
$85.59 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,785 |
2,777 |
$38.00 |
| 3048F |
|
13 |
13 |
$36.00 |
| 3049F |
|
13 |
13 |
$18.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
46 |
46 |
$10.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,213 |
2,150 |
$3.50 |
| 3008F |
|
2,059 |
1,993 |
$0.30 |
| 3725F |
|
1,783 |
1,768 |
$0.00 |
| 3016F |
|
1,178 |
1,171 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
362 |
347 |
$0.00 |
| 3288F |
|
16 |
16 |
$0.00 |
| 1100F |
|
17 |
17 |
$0.00 |
| 99000 |
|
3,260 |
3,234 |
$0.00 |
| 1000F |
|
1,646 |
1,616 |
$0.00 |
| 1036F |
|
1,510 |
1,487 |
$0.00 |
| 4000F |
|
906 |
900 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
352 |
335 |
$0.00 |
| 1101F |
|
17 |
17 |
$0.00 |