| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
6,125 |
5,835 |
$326K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
9,225 |
8,344 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,371 |
36,201 |
$141K |
| 97802 |
|
1,887 |
1,807 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,407 |
10,469 |
$49K |
| 97803 |
|
1,817 |
1,688 |
$36K |
| 99441 |
|
16,648 |
14,094 |
$32K |
| 99442 |
|
3,405 |
2,867 |
$24K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,139 |
1,966 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,438 |
1,320 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,692 |
2,472 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,830 |
9,021 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,178 |
1,151 |
$6K |
| 99215 |
Prolong outpt/office vis |
1,975 |
1,739 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,505 |
1,406 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
956 |
778 |
$2K |
| 93000 |
|
4,606 |
4,355 |
$2K |
| 99348 |
|
39 |
39 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
260 |
256 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
28 |
$529.00 |
| 72110 |
|
13 |
13 |
$394.32 |
| 90791 |
Psychiatric diagnostic evaluation |
141 |
105 |
$355.38 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
1,482 |
1,322 |
$275.55 |
| 99443 |
|
505 |
402 |
$179.58 |
| 90670 |
|
528 |
505 |
$174.20 |
| 96127 |
|
9,298 |
8,539 |
$144.23 |
| 99050 |
|
279 |
277 |
$144.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
815 |
769 |
$134.95 |
| 90715 |
|
193 |
187 |
$123.36 |
| 90734 |
|
291 |
287 |
$112.93 |
| 90698 |
|
73 |
67 |
$84.74 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
26 |
$54.26 |
| 90651 |
|
366 |
353 |
$52.00 |
| 90686 |
|
663 |
656 |
$50.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
60 |
49 |
$49.83 |
| 90723 |
|
46 |
46 |
$48.30 |
| 90688 |
|
212 |
183 |
$48.00 |
| 96160 |
|
2,639 |
2,157 |
$38.26 |
| 90716 |
|
254 |
247 |
$36.00 |
| 90707 |
|
243 |
236 |
$32.00 |
| 90633 |
|
136 |
136 |
$26.57 |
| 90655 |
|
55 |
55 |
$17.60 |
| 90700 |
|
32 |
29 |
$16.00 |
| 90656 |
|
81 |
66 |
$16.00 |
| 90648 |
|
104 |
103 |
$8.00 |
| 90681 |
|
71 |
68 |
$4.00 |
| 90744 |
|
17 |
17 |
$4.00 |
| 94664 |
|
322 |
299 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14,650 |
13,484 |
$0.01 |
| 96150 |
|
486 |
477 |
$0.01 |
| 1159F |
|
36,354 |
33,024 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
329 |
325 |
$0.00 |
| 1160F |
|
36,401 |
33,049 |
$0.00 |
| 1100F |
|
2,077 |
1,947 |
$0.00 |
| 3077F |
|
2,376 |
2,198 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
33 |
32 |
$0.00 |
| 3725F |
|
12,159 |
10,987 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,386 |
1,322 |
$0.00 |
| 2028F |
|
780 |
737 |
$0.00 |
| 99408 |
|
284 |
236 |
$0.00 |
| 1158F |
|
1,224 |
1,197 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
748 |
718 |
$0.00 |
| 3078F |
|
12,214 |
11,201 |
$0.00 |
| 3040F |
|
108 |
103 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
230 |
191 |
$0.00 |
| 98968 |
|
24 |
14 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
72 |
71 |
$0.00 |
| 4004F |
|
410 |
342 |
$0.00 |
| 99401 |
|
1,460 |
1,155 |
$0.00 |
| 72100 |
|
90 |
89 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
15 |
15 |
$0.00 |
| 3342F |
|
15 |
15 |
$0.00 |
| 3050F |
|
54 |
54 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
205 |
180 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
75 |
56 |
$0.00 |
| 99173 |
|
31 |
31 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
27 |
27 |
$0.00 |
| 98966 |
|
18 |
17 |
$0.00 |
| 73030 |
|
17 |
17 |
$0.00 |
| 96152 |
|
15 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
34 |
33 |
$0.00 |
| 3015F |
|
107 |
88 |
$0.00 |
| 3062F |
|
30 |
18 |
$0.00 |
| 3061F |
|
516 |
461 |
$0.00 |
| 1000F |
|
6,169 |
5,789 |
$0.00 |
| 4000F |
|
3,120 |
2,959 |
$0.00 |
| 1126F |
|
26,077 |
23,397 |
$0.00 |
| 3014F |
|
209 |
181 |
$0.00 |
| 1170F |
|
3,177 |
2,985 |
$0.00 |
| 3074F |
|
11,856 |
10,826 |
$0.00 |
| 1036F |
|
19,720 |
17,646 |
$0.00 |
| 1125F |
|
10,142 |
9,318 |
$0.00 |
| 1157F |
|
463 |
460 |
$0.00 |
| 2000F |
|
1,987 |
1,883 |
$0.00 |
| 3008F |
|
13,025 |
12,053 |
$0.00 |
| 4010F |
|
1,407 |
1,290 |
$0.00 |
| 1031F |
|
4,630 |
4,185 |
$0.00 |
| 3049F |
|
754 |
696 |
$0.00 |
| 1034F |
|
1,007 |
937 |
$0.00 |
| 3079F |
|
6,325 |
5,877 |
$0.00 |
| 3048F |
|
2,876 |
2,649 |
$0.00 |
| 3011F |
|
190 |
185 |
$0.00 |
| 3075F |
|
4,907 |
4,574 |
$0.00 |
| 3080F |
|
287 |
275 |
$0.00 |
| 3044F |
|
2,587 |
2,407 |
$0.00 |
| 73560 |
|
43 |
42 |
$0.00 |
| 1022F |
|
214 |
214 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
44 |
44 |
$0.00 |
| 3017F |
|
542 |
489 |
$0.00 |
| 99368 |
|
1,165 |
866 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
51 |
37 |
$0.00 |
| 1030F |
|
535 |
525 |
$0.00 |
| 90696 |
|
46 |
46 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| 3060F |
|
13 |
13 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$0.00 |
| 76536 |
|
15 |
15 |
$0.00 |
| 99070 |
|
49 |
48 |
$0.00 |
| 99429 |
|
12 |
12 |
$0.00 |
| 90620 |
|
20 |
20 |
$0.00 |
| 90647 |
|
68 |
67 |
$0.00 |
| 72040 |
|
41 |
41 |
$0.00 |
| 12002 |
|
18 |
18 |
$0.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
27 |
26 |
$0.00 |
| 1111F |
|
17 |
17 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |