| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,872 |
9,915 |
$846K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,213 |
4,580 |
$451K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,898 |
1,809 |
$342K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,049 |
1,967 |
$261K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,736 |
1,646 |
$204K |
| 93000 |
|
5,321 |
4,992 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
520 |
480 |
$59K |
| 93880 |
|
232 |
222 |
$33K |
| 90688 |
|
780 |
726 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
109 |
$12K |
| 93925 |
|
63 |
58 |
$8K |
| 90686 |
|
422 |
385 |
$8K |
| 0124A |
|
236 |
188 |
$7K |
| 90715 |
|
201 |
192 |
$6K |
| 90682 |
|
92 |
85 |
$5K |
| 3008F |
|
2,118 |
1,964 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
768 |
699 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
294 |
259 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
61 |
$3K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,591 |
1,457 |
$3K |
| 94010 |
|
96 |
91 |
$3K |
| 99441 |
|
145 |
117 |
$2K |
| 0064A |
|
61 |
61 |
$2K |
| 90658 |
|
123 |
123 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 94014 |
|
43 |
39 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 90651 |
|
44 |
41 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,681 |
1,541 |
$1K |
| 93922 |
|
17 |
15 |
$1K |
| 0053A |
|
30 |
29 |
$1K |
| 0003A |
|
29 |
28 |
$1K |
| 3074F |
|
1,656 |
1,475 |
$995.51 |
| 99406 |
|
72 |
67 |
$864.59 |
| 90620 |
|
26 |
25 |
$696.19 |
| 0013A |
|
18 |
18 |
$680.00 |
| 0134A |
|
18 |
18 |
$662.00 |
| 90656 |
|
24 |
23 |
$535.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
16 |
$447.26 |
| 0051A |
|
13 |
12 |
$404.00 |
| 90621 |
|
13 |
13 |
$394.46 |
| 91300 |
|
42 |
39 |
$326.24 |
| 90734 |
|
15 |
13 |
$279.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
763 |
572 |
$228.88 |
| 96160 |
|
45 |
43 |
$116.90 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
92 |
79 |
$49.43 |
| 3075F |
|
33 |
29 |
$45.06 |
| 91312 |
|
160 |
118 |
$29.83 |
| 3079F |
|
854 |
762 |
$0.86 |
| 3078F |
|
899 |
806 |
$0.73 |
| 91305 |
|
44 |
42 |
$0.03 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
187 |
163 |
$0.02 |
| 91306 |
|
32 |
32 |
$0.02 |
| 91301 |
|
27 |
25 |
$0.01 |
| 90662 |
|
117 |
99 |
$0.00 |
| 90461 |
|
43 |
36 |
$0.00 |
| 1159F |
|
27 |
24 |
$0.00 |