| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,060 |
21,998 |
$699K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,283 |
4,668 |
$185K |
| 99385 |
|
2,426 |
2,328 |
$157K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,301 |
2,191 |
$118K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,790 |
1,714 |
$95K |
| 99386 |
|
1,006 |
962 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,266 |
1,178 |
$28K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
54 |
50 |
$11K |
| 93000 |
|
2,271 |
2,154 |
$10K |
| 94010 |
|
922 |
867 |
$10K |
| 93922 |
|
97 |
92 |
$7K |
| 99397 |
|
98 |
96 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
665 |
574 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
303 |
298 |
$3K |
| H0049 |
Alcohol and/or drug screening |
635 |
625 |
$3K |
| 94060 |
|
159 |
154 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
543 |
509 |
$3K |
| 99051 |
|
346 |
333 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
255 |
242 |
$1K |
| 99401 |
|
134 |
121 |
$964.31 |
| 3074F |
|
9,575 |
8,027 |
$801.54 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,246 |
3,040 |
$724.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$713.41 |
| 90756 |
|
183 |
163 |
$681.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
42 |
$575.02 |
| 92250 |
|
224 |
200 |
$536.81 |
| 92100 |
|
87 |
74 |
$525.26 |
| 3075F |
|
2,808 |
2,494 |
$481.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$401.81 |
| 90688 |
|
45 |
45 |
$382.80 |
| 1111F |
|
1,874 |
1,628 |
$339.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
40 |
$317.76 |
| 99496 |
|
37 |
28 |
$283.20 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
37 |
35 |
$270.59 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
570 |
484 |
$224.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$178.56 |
| 3008F |
|
8,919 |
7,310 |
$127.53 |
| 3044F |
|
587 |
543 |
$100.00 |
| 3061F |
|
141 |
124 |
$99.19 |
| 82962 |
|
80 |
65 |
$93.55 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
13 |
13 |
$93.00 |
| 99177 |
|
409 |
337 |
$85.02 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
308 |
265 |
$72.61 |
| 1159F |
|
3,469 |
3,106 |
$56.68 |
| 4551F |
|
858 |
785 |
$14.17 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
374 |
327 |
$14.17 |
| 1126F |
|
1,205 |
1,108 |
$14.17 |
| 3049F |
|
58 |
55 |
$14.17 |
| 96127 |
|
552 |
499 |
$9.88 |
| 3078F |
|
8,449 |
6,791 |
$0.01 |
| 1158F |
|
158 |
155 |
$0.00 |
| 3015F |
|
287 |
270 |
$0.00 |
| 1160F |
|
3,419 |
3,071 |
$0.00 |
| 2028F |
|
126 |
117 |
$0.00 |
| 4120F |
|
129 |
107 |
$0.00 |
| 4013F |
|
457 |
398 |
$0.00 |
| 96160 |
|
653 |
537 |
$0.00 |
| 3051F |
|
29 |
26 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
494 |
439 |
$0.00 |
| 0518F |
|
241 |
228 |
$0.00 |
| 3288F |
|
278 |
262 |
$0.00 |
| 0521F |
|
259 |
245 |
$0.00 |
| 3050F |
|
89 |
86 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
19 |
18 |
$0.00 |
| 4025F |
|
23 |
19 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
22 |
12 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 1000F |
|
1,293 |
1,175 |
$0.00 |
| 1170F |
|
453 |
441 |
$0.00 |
| 2010F |
|
2,249 |
1,963 |
$0.00 |
| 3079F |
|
4,455 |
3,756 |
$0.00 |
| 3011F |
|
433 |
404 |
$0.00 |
| 2001F |
|
2,422 |
2,013 |
$0.00 |
| 4008F |
|
15 |
12 |
$0.00 |
| 1157F |
|
267 |
265 |
$0.00 |
| 4010F |
|
250 |
210 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
569 |
512 |
$0.00 |
| 3017F |
|
325 |
279 |
$0.00 |
| 3014F |
|
250 |
227 |
$0.00 |
| 2000F |
|
1,868 |
1,533 |
$0.00 |
| 4086F |
|
43 |
39 |
$0.00 |
| 1036F |
|
95 |
83 |
$0.00 |
| 1125F |
|
498 |
438 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
22 |
12 |
$0.00 |
| 3048F |
|
85 |
84 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
27 |
$0.00 |
| 99495 |
|
16 |
14 |
$0.00 |
| 1034F |
|
14 |
14 |
$0.00 |
| 3072F |
|
14 |
13 |
$0.00 |
| 2023F |
|
39 |
33 |
$0.00 |
| 91301 |
|
14 |
13 |
$0.00 |