| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,950 |
41,975 |
$374K |
| 92551 |
|
22,975 |
22,840 |
$219K |
| 96156 |
|
19,284 |
19,176 |
$168K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,772 |
22,014 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,454 |
7,362 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,518 |
6,457 |
$123K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,800 |
5,680 |
$108K |
| 90686 |
|
10,152 |
9,768 |
$95K |
| 99383 |
|
1,436 |
1,402 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,424 |
2,340 |
$75K |
| 99384 |
|
1,049 |
1,025 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,159 |
6,033 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,719 |
7,213 |
$65K |
| 90715 |
|
3,525 |
3,474 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,205 |
13,003 |
$59K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,783 |
8,987 |
$53K |
| 99381 |
|
695 |
666 |
$48K |
| 99382 |
|
680 |
652 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,252 |
5,170 |
$37K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
441 |
437 |
$36K |
| 90651 |
|
4,138 |
4,123 |
$33K |
| 90734 |
|
3,529 |
3,516 |
$25K |
| 90670 |
|
2,900 |
2,834 |
$24K |
| 90648 |
|
3,056 |
2,970 |
$23K |
| 90633 |
|
3,057 |
3,005 |
$22K |
| 90723 |
|
2,516 |
2,471 |
$20K |
| 99000 |
|
30,420 |
28,446 |
$20K |
| J3490 |
Unclassified drugs |
265 |
247 |
$20K |
| 90620 |
|
1,896 |
1,882 |
$18K |
| 90710 |
|
1,823 |
1,812 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14,720 |
14,641 |
$15K |
| 0012A |
|
767 |
490 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,591 |
2,585 |
$11K |
| 85018 |
|
18,398 |
17,924 |
$11K |
| 92552 |
|
1,166 |
1,161 |
$10K |
| 0011A |
|
803 |
523 |
$10K |
| 90681 |
|
1,231 |
1,202 |
$10K |
| 93000 |
|
554 |
550 |
$9K |
| 90696 |
|
1,326 |
1,320 |
$9K |
| 90732 |
|
119 |
117 |
$9K |
| 90656 |
|
709 |
707 |
$9K |
| G9012 |
Other specified case management service not elsewhere classified |
4,627 |
2,733 |
$8K |
| 90716 |
|
976 |
955 |
$8K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,926 |
1,849 |
$7K |
| 90750 |
|
66 |
66 |
$7K |
| 90700 |
|
953 |
928 |
$7K |
| 96127 |
|
15,489 |
15,391 |
$6K |
| 90707 |
|
819 |
802 |
$6K |
| 0064A |
|
275 |
158 |
$6K |
| 88141 |
|
111 |
67 |
$6K |
| 83655 |
|
452 |
429 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
45 |
$4K |
| 99497 |
|
125 |
124 |
$4K |
| 90677 |
|
465 |
463 |
$4K |
| 90682 |
|
68 |
68 |
$4K |
| 90697 |
|
538 |
531 |
$3K |
| 99406 |
|
3,375 |
3,221 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,066 |
1,059 |
$3K |
| 86580 |
|
362 |
354 |
$2K |
| 99385 |
|
454 |
454 |
$2K |
| 81002 |
|
9,407 |
9,131 |
$2K |
| 81025 |
|
2,324 |
2,278 |
$2K |
| 90672 |
|
249 |
249 |
$2K |
| 0134A |
|
93 |
82 |
$1K |
| 90685 |
|
137 |
137 |
$1K |
| G9920 |
Screening performed and negative |
1,659 |
1,652 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
200 |
200 |
$1K |
| 90744 |
|
131 |
127 |
$1K |
| 90671 |
|
287 |
284 |
$1K |
| 99173 |
|
19,234 |
19,150 |
$1K |
| 90713 |
|
103 |
100 |
$814.83 |
| 99442 |
|
277 |
262 |
$792.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,910 |
4,878 |
$774.99 |
| 99441 |
|
245 |
237 |
$651.30 |
| 90473 |
|
96 |
96 |
$573.84 |
| 99070 |
|
625 |
614 |
$570.21 |
| 90474 |
|
167 |
159 |
$568.02 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,039 |
2,038 |
$540.91 |
| G9919 |
Screening performed and positive and provision of recommendations |
693 |
690 |
$491.55 |
| 99443 |
|
43 |
42 |
$247.50 |
| 90480 |
|
14 |
14 |
$180.00 |
| 0091A |
|
15 |
15 |
$160.00 |
| 0031A |
|
15 |
15 |
$60.00 |
| 99072 |
|
3,340 |
3,077 |
$36.54 |
| 96160 |
|
547 |
546 |
$30.54 |
| 36415 |
Collection of venous blood by venipuncture |
17,940 |
17,130 |
$2.94 |
| 3075F |
|
2,420 |
2,362 |
$0.01 |
| H0049 |
Alcohol and/or drug screening |
6,647 |
6,633 |
$0.01 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,001 |
665 |
$0.00 |
| 3079F |
|
4,408 |
4,217 |
$0.00 |
| 1034F |
|
2,341 |
2,181 |
$0.00 |
| 3044F |
|
2,964 |
2,955 |
$0.00 |
| 2001F |
|
8,115 |
7,819 |
$0.00 |
| 3074F |
|
6,472 |
6,165 |
$0.00 |
| 1036F |
|
20,126 |
18,710 |
$0.00 |
| 3754F |
|
709 |
709 |
$0.00 |
| 1031F |
|
50,598 |
47,166 |
$0.00 |
| 3080F |
|
1,397 |
1,351 |
$0.00 |
| 3351F |
|
12,750 |
12,699 |
$0.00 |
| 36416 |
|
1,982 |
1,952 |
$0.00 |
| 3008F |
|
8,180 |
7,884 |
$0.00 |
| 1000F |
|
371 |
337 |
$0.00 |
| 91306 |
|
117 |
117 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| 99386 |
|
591 |
591 |
$0.00 |
| 3354F |
|
118 |
116 |
$0.00 |
| 3353F |
|
744 |
736 |
$0.00 |
| 4293F |
|
1,701 |
1,631 |
$0.00 |
| 1170F |
|
394 |
391 |
$0.00 |
| 96161 |
|
1,578 |
1,568 |
$0.00 |
| 91301 |
|
708 |
695 |
$0.00 |
| 91309 |
|
26 |
25 |
$0.00 |
| 91303 |
|
13 |
13 |
$0.00 |
| 3352F |
|
312 |
307 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| 3078F |
|
5,848 |
5,565 |
$0.00 |
| 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) |
5,980 |
5,883 |
$0.00 |
| 3077F |
|
2,896 |
2,740 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
515 |
515 |
$0.00 |
| 3725F |
|
16,578 |
16,458 |
$0.00 |
| 3016F |
|
2,771 |
2,769 |
$0.00 |
| 1160F |
|
217 |
215 |
$0.00 |
| 1090F |
|
140 |
140 |
$0.00 |
| 99397 |
|
63 |
63 |
$0.00 |
| 1158F |
|
42 |
42 |
$0.00 |
| 3288F |
|
19 |
19 |
$0.00 |
| 3046F |
|
58 |
58 |
$0.00 |
| 91313 |
|
22 |
22 |
$0.00 |