| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96160 |
|
28,726 |
26,289 |
$810K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142,962 |
121,913 |
$792K |
| 99050 |
|
18,590 |
16,862 |
$626K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24,529 |
22,680 |
$129K |
| 99442 |
|
22,919 |
20,798 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,205 |
4,092 |
$70K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,166 |
5,238 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,666 |
3,033 |
$44K |
| 0002A |
|
1,171 |
1,024 |
$28K |
| 99443 |
|
1,701 |
1,615 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
837 |
725 |
$16K |
| 0004A |
|
414 |
408 |
$14K |
| 0001A |
|
1,202 |
1,058 |
$14K |
| 90670 |
|
2,322 |
2,016 |
$13K |
| 90651 |
|
2,275 |
1,921 |
$13K |
| 0003A |
|
299 |
298 |
$11K |
| 90686 |
|
3,735 |
3,206 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,941 |
2,806 |
$8K |
| 90734 |
|
2,009 |
1,736 |
$8K |
| 0012A |
|
377 |
302 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,316 |
4,162 |
$7K |
| 97803 |
|
702 |
699 |
$7K |
| 90716 |
|
2,060 |
1,742 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,971 |
5,542 |
$6K |
| 90715 |
|
1,892 |
1,667 |
$6K |
| 90707 |
|
1,965 |
1,665 |
$6K |
| 97802 |
|
466 |
465 |
$5K |
| 90633 |
|
1,879 |
1,589 |
$5K |
| 90620 |
|
1,212 |
1,041 |
$4K |
| 93000 |
|
392 |
383 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,216 |
3,118 |
$4K |
| 0071A |
|
103 |
103 |
$4K |
| 0072A |
|
101 |
101 |
$4K |
| 0011A |
|
369 |
277 |
$3K |
| 90649 |
|
790 |
722 |
$3K |
| 99441 |
|
769 |
746 |
$2K |
| 90621 |
|
406 |
376 |
$2K |
| 90698 |
|
623 |
525 |
$2K |
| 90696 |
|
637 |
531 |
$2K |
| 99347 |
|
972 |
934 |
$2K |
| 90648 |
|
549 |
491 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
576 |
529 |
$2K |
| 90700 |
|
616 |
523 |
$2K |
| 90688 |
|
431 |
381 |
$2K |
| 90697 |
|
428 |
392 |
$1K |
| 90677 |
|
484 |
421 |
$1K |
| 90680 |
|
258 |
249 |
$974.30 |
| 90744 |
|
226 |
202 |
$660.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
141 |
141 |
$399.36 |
| 90674 |
|
135 |
132 |
$292.20 |
| 90681 |
|
122 |
103 |
$284.00 |
| 99401 |
|
425 |
419 |
$205.00 |
| 90723 |
|
44 |
41 |
$189.44 |
| 99368 |
|
562 |
528 |
$175.00 |
| 90658 |
|
60 |
60 |
$166.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
324 |
323 |
$160.55 |
| 96127 |
|
3,196 |
3,131 |
$155.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
868 |
861 |
$151.96 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
133 |
132 |
$108.52 |
| 90732 |
|
34 |
34 |
$100.00 |
| 1158F |
|
77 |
66 |
$97.02 |
| 90714 |
|
30 |
24 |
$72.00 |
| 90685 |
|
12 |
12 |
$48.00 |
| 90657 |
|
15 |
15 |
$44.00 |
| 99384 |
|
42 |
42 |
$28.08 |
| 90656 |
|
43 |
43 |
$0.10 |
| 90619 |
|
395 |
359 |
$0.03 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,238 |
1,196 |
$0.00 |
| 1159F |
|
449 |
431 |
$0.00 |
| 3078F |
|
4,662 |
4,082 |
$0.00 |
| 1160F |
|
477 |
460 |
$0.00 |
| 99051 |
|
1,313 |
1,285 |
$0.00 |
| 0521F |
|
232 |
216 |
$0.00 |
| 2028F |
|
643 |
638 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
533 |
531 |
$0.00 |
| 3046F |
|
393 |
370 |
$0.00 |
| 91300 |
|
2,406 |
1,853 |
$0.00 |
| 3077F |
|
849 |
807 |
$0.00 |
| 3725F |
|
1,493 |
1,449 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
525 |
498 |
$0.00 |
| G9797 |
Patient is not on a high intensity statin therapy |
100 |
100 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
484 |
482 |
$0.00 |
| 99408 |
|
2,219 |
2,171 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
132 |
128 |
$0.00 |
| 99173 |
|
158 |
153 |
$0.00 |
| 99348 |
|
38 |
38 |
$0.00 |
| 3051F |
|
253 |
241 |
$0.00 |
| 2014F |
|
39 |
29 |
$0.00 |
| 1033F |
|
27 |
27 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| 4013F |
|
21 |
20 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
761 |
743 |
$0.00 |
| 3079F |
|
1,717 |
1,536 |
$0.00 |
| 3049F |
|
79 |
79 |
$0.00 |
| 3048F |
|
112 |
112 |
$0.00 |
| 3075F |
|
1,988 |
1,747 |
$0.00 |
| 3351F |
|
1,180 |
1,155 |
$0.00 |
| 2001F |
|
77 |
76 |
$0.00 |
| 3044F |
|
496 |
483 |
$0.00 |
| 3352F |
|
1,796 |
1,732 |
$0.00 |
| 4010F |
|
551 |
547 |
$0.00 |
| 1111F |
|
854 |
835 |
$0.00 |
| 3074F |
|
3,474 |
3,100 |
$0.00 |
| 96150 |
|
3,590 |
3,342 |
$0.00 |
| 3008F |
|
2,638 |
2,592 |
$0.00 |
| 88142 |
|
427 |
427 |
$0.00 |
| 1126F |
|
119 |
117 |
$0.00 |
| 91307 |
|
201 |
175 |
$0.00 |
| 91301 |
|
746 |
578 |
$0.00 |
| 3061F |
|
69 |
69 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$0.00 |
| 3080F |
|
110 |
107 |
$0.00 |
| 1170F |
|
45 |
31 |
$0.00 |
| 99422 |
|
144 |
133 |
$0.00 |
| 3052F |
|
133 |
125 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 90647 |
|
16 |
12 |
$0.00 |
| 1157F |
|
16 |
15 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
15 |
15 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
43 |
40 |
$0.00 |
| 99484 |
|
17 |
16 |
$0.00 |
| 1125F |
|
16 |
13 |
$0.00 |