| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
26,155 |
24,915 |
$1.69M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13,172 |
12,554 |
$799K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,950 |
20,728 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,867 |
2,771 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,739 |
4,414 |
$12K |
| 96156 |
|
440 |
430 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
604 |
603 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,420 |
1,374 |
$8K |
| 92552 |
|
744 |
742 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,136 |
1,132 |
$4K |
| 93000 |
|
234 |
231 |
$3K |
| 99201 |
|
126 |
123 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,056 |
3,860 |
$2K |
| 99443 |
|
146 |
143 |
$2K |
| 99442 |
|
195 |
189 |
$1K |
| 92551 |
|
1,304 |
1,276 |
$1K |
| 81002 |
|
3,915 |
3,789 |
$1K |
| 94760 |
|
846 |
817 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
39 |
$953.97 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
626 |
581 |
$705.28 |
| 85018 |
|
1,305 |
1,272 |
$507.16 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
67 |
$488.52 |
| 97802 |
|
17 |
17 |
$420.70 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,398 |
1,326 |
$384.41 |
| 99385 |
|
93 |
93 |
$338.88 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
317 |
306 |
$276.13 |
| 99383 |
|
71 |
71 |
$271.40 |
| 82962 |
|
730 |
704 |
$257.96 |
| G9920 |
Screening performed and negative |
1,960 |
1,942 |
$251.32 |
| 99406 |
|
425 |
399 |
$226.82 |
| 99215 |
Prolong outpt/office vis |
41 |
41 |
$226.52 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$217.05 |
| 99384 |
|
61 |
61 |
$195.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
163 |
$145.86 |
| 99173 |
|
2,111 |
2,074 |
$127.19 |
| H0049 |
Alcohol and/or drug screening |
6,548 |
6,039 |
$105.00 |
| 3074F |
|
16,993 |
15,484 |
$75.00 |
| 99496 |
|
17 |
17 |
$65.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,351 |
2,273 |
$57.20 |
| 81025 |
|
260 |
255 |
$27.74 |
| G9919 |
Screening performed and positive and provision of recommendations |
41 |
41 |
$24.76 |
| 99499 |
|
138 |
136 |
$12.23 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,625 |
2,551 |
$6.30 |
| 3077F |
|
2,527 |
2,345 |
$2.01 |
| 3075F |
|
2,739 |
2,629 |
$2.00 |
| S9470 |
Nutritional counseling, dietitian visit |
515 |
495 |
$1.00 |
| 90700 |
|
14 |
14 |
$0.05 |
| 3008F |
|
16,096 |
14,580 |
$0.00 |
| 4010F |
|
91 |
89 |
$0.00 |
| 3079F |
|
5,459 |
5,131 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
143 |
140 |
$0.00 |
| 1125F |
|
880 |
849 |
$0.00 |
| 3044F |
|
112 |
108 |
$0.00 |
| 4050F |
|
392 |
377 |
$0.00 |
| 3351F |
|
415 |
411 |
$0.00 |
| 3353F |
|
324 |
323 |
$0.00 |
| 1220F |
|
1,112 |
1,102 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
168 |
153 |
$0.00 |
| 1126F |
|
1,696 |
1,638 |
$0.00 |
| 90651 |
|
57 |
57 |
$0.00 |
| 82043 |
|
51 |
44 |
$0.00 |
| 4188F |
|
103 |
101 |
$0.00 |
| 3048F |
|
37 |
32 |
$0.00 |
| 3080F |
|
2,032 |
1,905 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
549 |
540 |
$0.00 |
| 99429 |
|
12 |
12 |
$0.00 |
| 99050 |
|
129 |
125 |
$0.00 |
| 99447 |
|
216 |
207 |
$0.00 |
| 4210F |
|
75 |
74 |
$0.00 |
| 3061F |
|
62 |
59 |
$0.00 |
| 1111F |
|
329 |
329 |
$0.00 |
| 3354F |
|
39 |
39 |
$0.00 |
| 87110 |
|
62 |
62 |
$0.00 |
| 88142 |
|
72 |
72 |
$0.00 |
| 1036F |
|
34 |
34 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 91301 |
|
41 |
38 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
137 |
124 |
$0.00 |
| 1034F |
|
92 |
86 |
$0.00 |
| 99386 |
|
54 |
54 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
41 |
41 |
$0.00 |
| 2001F |
|
12 |
12 |
$0.00 |
| 4000F |
|
27 |
27 |
$0.00 |
| 1000F |
|
49 |
49 |
$0.00 |
| 0012A |
|
14 |
14 |
$0.00 |
| 0011A |
|
14 |
13 |
$0.00 |
| 1159F |
|
8,672 |
8,077 |
$0.00 |
| 3078F |
|
14,723 |
13,566 |
$0.00 |
| 99401 |
|
1,670 |
1,537 |
$0.00 |
| 1158F |
|
2,313 |
2,288 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,392 |
1,385 |
$0.00 |
| 1090F |
|
1,062 |
1,055 |
$0.00 |
| 99408 |
|
43 |
42 |
$0.00 |
| 4004F |
|
1,874 |
1,851 |
$0.00 |
| 1160F |
|
2,750 |
2,624 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
94 |
94 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
550 |
529 |
$0.00 |
| 3725F |
|
279 |
275 |
$0.00 |
| 3015F |
|
29 |
29 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
129 |
121 |
$0.00 |
| 0521F |
|
122 |
121 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
93 |
93 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
64 |
63 |
$0.00 |
| 99448 |
|
33 |
29 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |
| 90715 |
|
61 |
60 |
$0.00 |
| 96160 |
|
14 |
14 |
$0.00 |
| 3046F |
|
29 |
29 |
$0.00 |
| 99446 |
|
115 |
108 |
$0.00 |
| 4067F |
|
14 |
14 |
$0.00 |
| 90734 |
|
47 |
46 |
$0.00 |
| 90710 |
|
19 |
19 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |