| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,607 |
33,146 |
$1.82M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,767 |
2,563 |
$196K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,973 |
1,824 |
$165K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,722 |
4,072 |
$158K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,688 |
1,616 |
$144K |
| 99385 |
|
1,559 |
1,470 |
$143K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
9,422 |
8,407 |
$129K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,564 |
1,495 |
$123K |
| 99386 |
|
920 |
870 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,190 |
1,108 |
$93K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
7,108 |
6,792 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
712 |
661 |
$44K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,669 |
4,478 |
$30K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
368 |
316 |
$14K |
| 94760 |
|
6,415 |
5,506 |
$13K |
| 99058 |
|
1,099 |
985 |
$13K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
273 |
230 |
$11K |
| 99496 |
|
57 |
52 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
95 |
$8K |
| 0513F |
|
2,199 |
2,073 |
$8K |
| 99406 |
|
1,454 |
1,369 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
350 |
317 |
$6K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
53 |
53 |
$5K |
| 92081 |
|
502 |
475 |
$5K |
| 93000 |
|
432 |
397 |
$4K |
| 80061 |
Lipid panel |
709 |
667 |
$4K |
| 80053 |
Comprehensive metabolic panel |
714 |
671 |
$3K |
| 99384 |
|
24 |
24 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
712 |
671 |
$2K |
| 87430 |
|
244 |
235 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
54 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
61 |
59 |
$2K |
| 3074F |
|
8,528 |
7,656 |
$1K |
| 90620 |
|
113 |
108 |
$1K |
| 99408 |
|
219 |
202 |
$1K |
| 2015F |
|
306 |
299 |
$1K |
| 96127 |
|
347 |
328 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$669.52 |
| 97802 |
|
359 |
346 |
$639.62 |
| 90651 |
|
753 |
655 |
$560.94 |
| 3075F |
|
1,937 |
1,849 |
$530.00 |
| 3044F |
|
310 |
280 |
$320.00 |
| 96116 |
|
26 |
26 |
$301.51 |
| 86804 |
|
20 |
20 |
$298.97 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
41 |
$283.39 |
| 90621 |
|
19 |
13 |
$245.30 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
14 |
$232.05 |
| 90656 |
|
230 |
201 |
$187.79 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
22 |
22 |
$185.18 |
| 96160 |
|
111 |
109 |
$181.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$175.17 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$169.78 |
| 90670 |
|
15 |
12 |
$125.54 |
| 81000 |
|
70 |
69 |
$108.50 |
| 81002 |
|
100 |
96 |
$107.50 |
| 3077F |
|
2,387 |
2,219 |
$100.01 |
| 3085F |
|
15 |
15 |
$100.00 |
| 99173 |
|
437 |
401 |
$86.97 |
| H0049 |
Alcohol and/or drug screening |
14 |
14 |
$73.15 |
| 99491 |
Ccm add 20min |
16 |
14 |
$70.27 |
| 3008F |
|
30,638 |
26,684 |
$44.55 |
| 3078F |
|
6,286 |
5,780 |
$25.00 |
| 81003 |
|
24 |
24 |
$24.27 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
12 |
$18.79 |
| 84550 |
|
34 |
33 |
$0.22 |
| 3080F |
|
1,636 |
1,542 |
$0.00 |
| 3079F |
|
4,875 |
4,379 |
$0.00 |
| 1125F |
|
346 |
331 |
$0.00 |
| 90686 |
|
1,096 |
1,045 |
$0.00 |
| 3011F |
|
1,265 |
1,224 |
$0.00 |
| 90688 |
|
100 |
99 |
$0.00 |
| 1031F |
|
352 |
323 |
$0.00 |
| 1111F |
|
125 |
107 |
$0.00 |
| 99000 |
|
17 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
74 |
73 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
65 |
60 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
278 |
259 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
18 |
14 |
$0.00 |
| 1110F |
|
73 |
70 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 0556F |
|
1,435 |
1,384 |
$0.00 |
| 90734 |
|
147 |
140 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
48 |
45 |
$0.00 |
| 99051 |
|
51 |
47 |
$0.00 |
| 1160F |
|
49 |
41 |
$0.00 |
| 90461 |
|
55 |
50 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |