| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,418 |
23,314 |
$873K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,252 |
4,812 |
$442K |
| 99195 |
|
2,803 |
2,685 |
$231K |
| 90651 |
|
1,426 |
1,422 |
$211K |
| 90670 |
|
1,063 |
1,063 |
$123K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,208 |
1,174 |
$105K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,281 |
9,911 |
$102K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,474 |
4,441 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,491 |
3,443 |
$68K |
| 90746 |
|
999 |
992 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,962 |
2,909 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,993 |
1,957 |
$55K |
| 99401 |
|
2,129 |
1,977 |
$51K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,909 |
3,886 |
$51K |
| 90734 |
|
807 |
805 |
$50K |
| 93000 |
|
3,137 |
3,121 |
$46K |
| 99442 |
|
2,621 |
2,217 |
$43K |
| 95923 |
|
372 |
372 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,171 |
5,016 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,050 |
1,236 |
$32K |
| 90715 |
|
1,008 |
1,007 |
$32K |
| 92552 |
|
6,256 |
6,241 |
$23K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12,470 |
12,308 |
$23K |
| 90686 |
|
4,309 |
4,301 |
$22K |
| 90688 |
|
1,076 |
1,076 |
$22K |
| 99386 |
|
168 |
168 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
515 |
498 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,308 |
11,072 |
$14K |
| 95921 |
|
241 |
241 |
$13K |
| 94010 |
|
439 |
437 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,780 |
1,737 |
$12K |
| 99441 |
|
10,964 |
9,936 |
$10K |
| 99385 |
|
125 |
125 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
985 |
981 |
$7K |
| 93922 |
|
94 |
94 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
21,412 |
20,366 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
13 |
$5K |
| 92250 |
|
414 |
414 |
$4K |
| 94729 |
|
75 |
75 |
$2K |
| 95943 |
|
94 |
94 |
$2K |
| 90656 |
|
133 |
133 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
835 |
811 |
$2K |
| 94727 |
|
75 |
75 |
$2K |
| 90619 |
|
69 |
69 |
$2K |
| 90677 |
|
15 |
15 |
$2K |
| 92015 |
Determination of refractive state |
2,188 |
2,183 |
$1K |
| 92587 |
|
3,808 |
3,802 |
$1K |
| 99174 |
|
2,122 |
2,116 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
198 |
198 |
$903.76 |
| 90461 |
|
1,019 |
1,010 |
$901.55 |
| 90707 |
|
81 |
81 |
$702.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
25 |
$609.58 |
| 36406 |
|
28 |
26 |
$284.16 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
7,938 |
7,808 |
$266.00 |
| H0001 |
Alcohol and/or drug assessment |
10,039 |
10,022 |
$255.45 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
7,701 |
7,574 |
$245.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,667 |
5,572 |
$224.00 |
| 90671 |
|
15 |
15 |
$213.48 |
| 90716 |
|
41 |
41 |
$209.04 |
| 92504 |
|
30 |
26 |
$208.03 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
98 |
98 |
$202.25 |
| 99177 |
|
5,042 |
5,039 |
$145.70 |
| 97802 |
|
254 |
254 |
$135.96 |
| 90744 |
|
481 |
481 |
$108.21 |
| 90633 |
|
442 |
441 |
$78.00 |
| 3078F |
|
1,167 |
1,150 |
$62.50 |
| 3074F |
|
1,410 |
1,386 |
$62.50 |
| 81003 |
|
222 |
217 |
$54.72 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,514 |
1,485 |
$35.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
223 |
222 |
$7.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
270 |
258 |
$3.50 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
33 |
30 |
$3.50 |
| G8404 |
Lower extremity neurological exam performed and documented |
325 |
323 |
$2.00 |
| 3008F |
|
5,460 |
5,181 |
$0.02 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
9,955 |
9,939 |
$0.00 |
| G9818 |
Documentation of sexual activity |
7,437 |
7,428 |
$0.00 |
| 3725F |
|
3,362 |
3,281 |
$0.00 |
| 3016F |
|
2,797 |
2,789 |
$0.00 |
| G9821 |
No documentation of a chlamydia screening test with proper follow-up |
42 |
42 |
$0.00 |
| 3015F |
|
14 |
14 |
$0.00 |
| 90710 |
|
66 |
66 |
$0.00 |
| 99499 |
|
45 |
40 |
$0.00 |
| 3511F |
|
12 |
12 |
$0.00 |
| 1036F |
|
2,863 |
2,842 |
$0.00 |
| 1000F |
|
3,087 |
3,051 |
$0.00 |
| 99429 |
|
509 |
506 |
$0.00 |
| 90698 |
|
249 |
249 |
$0.00 |
| 3079F |
|
184 |
184 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 90696 |
|
43 |
43 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 99381 |
|
14 |
14 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |