| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,101 |
5,159 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,235 |
1,991 |
$2K |
| 0002A |
|
42 |
42 |
$2K |
| 0001A |
|
33 |
32 |
$1K |
| 96156 |
|
483 |
483 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
263 |
261 |
$1K |
| G9920 |
Screening performed and negative |
231 |
230 |
$561.75 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
594 |
593 |
$548.44 |
| 0003A |
|
13 |
13 |
$520.00 |
| 97802 |
|
503 |
503 |
$439.70 |
| 90686 |
|
142 |
142 |
$113.75 |
| 92551 |
|
365 |
364 |
$107.45 |
| 99442 |
|
1,505 |
1,287 |
$70.58 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
67 |
$64.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
135 |
$45.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
621 |
619 |
$35.00 |
| 86580 |
|
238 |
236 |
$30.01 |
| 99000 |
|
1,068 |
1,055 |
$22.22 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
517 |
517 |
$20.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,080 |
1,080 |
$10.89 |
| 90649 |
|
12 |
12 |
$9.00 |
| 90734 |
|
14 |
14 |
$9.00 |
| 85018 |
|
309 |
309 |
$5.58 |
| 81000 |
|
284 |
282 |
$5.10 |
| 81002 |
|
335 |
335 |
$2.13 |
| 85014 |
|
31 |
31 |
$2.13 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
47 |
47 |
$0.90 |
| 3075F |
|
501 |
476 |
$0.00 |
| 4245F |
|
1,414 |
1,412 |
$0.00 |
| 3008F |
|
4,355 |
3,965 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
430 |
430 |
$0.00 |
| 3074F |
|
2,587 |
2,419 |
$0.00 |
| 99441 |
|
558 |
481 |
$0.00 |
| 3044F |
|
148 |
148 |
$0.00 |
| G9228 |
Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) |
191 |
191 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
292 |
291 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
444 |
444 |
$0.00 |
| 1036F |
|
773 |
773 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
228 |
228 |
$0.00 |
| 3079F |
|
277 |
270 |
$0.00 |
| 92499 |
|
38 |
38 |
$0.00 |
| 4037F |
|
119 |
119 |
$0.00 |
| 3049F |
|
13 |
13 |
$0.00 |
| 3048F |
|
92 |
89 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
52 |
52 |
$0.00 |
| 2010F |
|
12 |
12 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |
| 3078F |
|
3,018 |
2,837 |
$0.00 |
| 1160F |
|
1,639 |
1,586 |
$0.00 |
| 3725F |
|
1,320 |
1,320 |
$0.00 |
| 1159F |
|
621 |
617 |
$0.00 |
| 92015 |
Determination of refractive state |
85 |
85 |
$0.00 |
| 96160 |
|
692 |
691 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
65 |
63 |
$0.00 |
| 1003F |
|
206 |
206 |
$0.00 |
| 3077F |
|
60 |
60 |
$0.00 |
| 4004F |
|
42 |
42 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
58 |
58 |
$0.00 |
| 1033F |
|
199 |
199 |
$0.00 |
| 3015F |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$0.00 |
| 99173 |
|
38 |
38 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |
| 3050F |
|
16 |
16 |
$0.00 |