| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,416 |
17,191 |
$857K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,757 |
3,599 |
$243K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,619 |
3,615 |
$228K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,294 |
3,229 |
$52K |
| 99407 |
|
2,238 |
2,064 |
$41K |
| 90686 |
|
1,802 |
1,802 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
647 |
647 |
$34K |
| 90682 |
|
540 |
540 |
$33K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,568 |
1,527 |
$25K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,489 |
4,450 |
$19K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,629 |
4,587 |
$19K |
| 0513F |
|
2,753 |
2,676 |
$17K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
346 |
346 |
$15K |
| 93000 |
|
1,031 |
1,028 |
$13K |
| 90746 |
|
137 |
137 |
$9K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
221 |
221 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
206 |
206 |
$7K |
| 3074F |
|
1,598 |
1,511 |
$6K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,835 |
1,646 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,580 |
2,554 |
$6K |
| 3078F |
|
1,707 |
1,619 |
$6K |
| 77080 |
|
150 |
150 |
$6K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
2,431 |
2,297 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
11,033 |
10,652 |
$5K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
67 |
65 |
$5K |
| 99051 |
|
1,281 |
1,230 |
$4K |
| 99497 |
|
543 |
541 |
$4K |
| 3044F |
|
808 |
769 |
$4K |
| 99401 |
|
92 |
90 |
$4K |
| 90688 |
|
205 |
203 |
$4K |
| 99442 |
|
86 |
80 |
$2K |
| 96127 |
|
4,581 |
4,521 |
$2K |
| 99408 |
|
64 |
61 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74 |
65 |
$1K |
| 3075F |
|
320 |
310 |
$1K |
| 90715 |
|
30 |
30 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
99 |
99 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,569 |
1,564 |
$969.60 |
| 99072 |
|
374 |
238 |
$786.00 |
| 90756 |
|
26 |
26 |
$716.90 |
| 99397 |
|
169 |
169 |
$627.34 |
| 90662 |
|
28 |
28 |
$499.96 |
| 3051F |
|
139 |
136 |
$460.00 |
| 0013A |
|
17 |
17 |
$459.55 |
| 90656 |
|
24 |
24 |
$417.59 |
| 90694 |
|
21 |
21 |
$396.53 |
| 3045F |
|
14 |
14 |
$240.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$184.20 |
| G0008 |
Administration of influenza virus vaccine |
79 |
79 |
$55.72 |
| 3079F |
|
175 |
166 |
$55.00 |
| 1160F |
|
3,955 |
3,746 |
$20.00 |
| 1159F |
|
3,763 |
3,575 |
$15.00 |
| 1033F |
|
57 |
57 |
$0.00 |
| 1158F |
|
518 |
515 |
$0.00 |
| 3725F |
|
3,131 |
3,098 |
$0.00 |
| 4013F |
|
66 |
66 |
$0.00 |
| 3017F |
|
2,327 |
2,235 |
$0.00 |
| 4010F |
|
1,467 |
1,357 |
$0.00 |
| 3014F |
|
1,363 |
1,318 |
$0.00 |
| 3008F |
|
3,988 |
3,775 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
29 |
$0.00 |
| 3048F |
|
2,411 |
2,293 |
$0.00 |
| 1101F |
|
147 |
147 |
$0.00 |
| 3061F |
|
1,286 |
1,235 |
$0.00 |
| 1036F |
|
140 |
139 |
$0.00 |
| 1170F |
|
174 |
170 |
$0.00 |
| 1125F |
|
85 |
85 |
$0.00 |
| 91303 |
|
18 |
14 |
$0.00 |
| 1157F |
|
15 |
15 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |