| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,245 |
6,122 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
226,752 |
153,678 |
$68K |
| 96160 |
|
14,605 |
9,860 |
$66K |
| 99441 |
|
40,452 |
31,028 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91,935 |
59,691 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,194 |
5,832 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,133 |
2,009 |
$2K |
| 99442 |
|
10,553 |
8,893 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
194 |
155 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,673 |
8,978 |
$919.63 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
87 |
84 |
$861.11 |
| 99215 |
Prolong outpt/office vis |
12,089 |
7,172 |
$796.16 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
13 |
12 |
$756.86 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,147 |
2,318 |
$738.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,385 |
6,222 |
$670.86 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
739 |
700 |
$393.80 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
307 |
237 |
$382.30 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,103 |
3,009 |
$346.81 |
| 99221 |
|
423 |
309 |
$302.48 |
| 88142 |
|
1,049 |
964 |
$258.39 |
| 88174 |
|
192 |
170 |
$142.66 |
| 97803 |
|
2,441 |
1,457 |
$130.60 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,704 |
2,066 |
$102.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,794 |
4,641 |
$94.28 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,120 |
848 |
$75.93 |
| 94664 |
|
1,366 |
812 |
$75.00 |
| 90791 |
Psychiatric diagnostic evaluation |
2,770 |
2,694 |
$61.50 |
| 96127 |
|
10,477 |
8,130 |
$42.53 |
| 86580 |
|
3,810 |
2,597 |
$40.68 |
| 94760 |
|
2,677 |
1,581 |
$25.00 |
| 99401 |
|
2,670 |
1,774 |
$20.54 |
| 99368 |
|
2,518 |
2,496 |
$20.00 |
| 80061 |
Lipid panel |
790 |
653 |
$18.24 |
| 92551 |
|
3,332 |
2,287 |
$12.00 |
| 99173 |
|
3,913 |
2,843 |
$1.60 |
| 3510F |
|
955 |
742 |
$0.01 |
| 3049F |
|
442 |
282 |
$0.00 |
| 3008F |
|
42,352 |
28,196 |
$0.00 |
| 3074F |
|
56,674 |
36,790 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
9,454 |
7,283 |
$0.00 |
| 1126F |
|
16,805 |
11,733 |
$0.00 |
| 99383 |
|
311 |
298 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
958 |
827 |
$0.00 |
| 1125F |
|
4,903 |
3,520 |
$0.00 |
| 1157F |
|
5,141 |
3,537 |
$0.00 |
| 1030F |
|
3,747 |
2,553 |
$0.00 |
| 3079F |
|
5,780 |
4,075 |
$0.00 |
| 3017F |
|
2,476 |
1,709 |
$0.00 |
| 3061F |
|
822 |
553 |
$0.00 |
| 3048F |
|
1,677 |
1,238 |
$0.00 |
| 1111F |
|
792 |
463 |
$0.00 |
| 3080F |
|
1,567 |
1,089 |
$0.00 |
| 1170F |
|
16,798 |
11,490 |
$0.00 |
| 3044F |
|
1,785 |
1,208 |
$0.00 |
| 1036F |
|
3,247 |
2,164 |
$0.00 |
| 3075F |
|
5,576 |
3,813 |
$0.00 |
| 3292F |
|
1,625 |
1,144 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
139 |
112 |
$0.00 |
| 2010F |
|
2,446 |
1,614 |
$0.00 |
| 4010F |
|
2,032 |
1,428 |
$0.00 |
| 93000 |
|
735 |
657 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
603 |
423 |
$0.00 |
| 3011F |
|
109 |
67 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
132 |
126 |
$0.00 |
| 99384 |
|
406 |
390 |
$0.00 |
| 96150 |
|
153 |
152 |
$0.00 |
| 3072F |
|
377 |
239 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
81 |
81 |
$0.00 |
| 3066F |
|
410 |
253 |
$0.00 |
| 3014F |
|
694 |
413 |
$0.00 |
| 99386 |
|
170 |
137 |
$0.00 |
| 87590 |
|
44 |
38 |
$0.00 |
| 1101F |
|
1,575 |
1,124 |
$0.00 |
| 1000F |
|
144 |
83 |
$0.00 |
| 1022F |
|
2,878 |
1,983 |
$0.00 |
| 99385 |
|
293 |
262 |
$0.00 |
| 99090 |
|
57 |
51 |
$0.00 |
| 2023F |
|
231 |
142 |
$0.00 |
| 96161 |
|
85 |
84 |
$0.00 |
| 87490 |
|
45 |
39 |
$0.00 |
| 0509F |
|
93 |
70 |
$0.00 |
| 4008F |
|
13 |
12 |
$0.00 |
| 86701 |
|
123 |
95 |
$0.00 |
| 4086F |
|
14 |
13 |
$0.00 |
| V5008 |
Hearing screening |
81 |
81 |
$0.00 |
| 2000F |
|
115 |
98 |
$0.00 |
| 85018 |
|
55 |
54 |
$0.00 |
| 96156 |
|
88 |
43 |
$0.00 |
| 1160F |
|
27,543 |
18,048 |
$0.00 |
| 3078F |
|
61,156 |
39,410 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
521 |
460 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,852 |
3,123 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
1,441 |
975 |
$0.00 |
| 3077F |
|
4,577 |
3,077 |
$0.00 |
| 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 |
1,168 |
692 |
$0.00 |
| 99408 |
|
4,804 |
3,851 |
$0.00 |
| 1158F |
|
7,390 |
4,991 |
$0.00 |
| 1159F |
|
29,916 |
19,769 |
$0.00 |
| 3088F |
|
116 |
65 |
$0.00 |
| 0521F |
|
607 |
374 |
$0.00 |
| 3725F |
|
7,469 |
5,028 |
$0.00 |
| 4013F |
|
953 |
677 |
$0.00 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
223 |
219 |
$0.00 |
| 1090F |
|
1,253 |
797 |
$0.00 |
| 99201 |
|
79 |
76 |
$0.00 |
| 4035F |
|
1,349 |
843 |
$0.00 |
| 3045F |
|
219 |
159 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
41 |
40 |
$0.00 |
| 2028F |
|
149 |
86 |
$0.00 |
| 99397 |
|
103 |
59 |
$0.00 |
| 83655 |
|
359 |
321 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
53 |
44 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
426 |
306 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
63 |
50 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
33 |
32 |
$0.00 |
| 86703 |
|
29 |
27 |
$0.00 |
| 3050F |
|
74 |
41 |
$0.00 |
| 3095F |
|
109 |
51 |
$0.00 |
| 99382 |
|
59 |
59 |
$0.00 |
| 3288F |
|
47 |
33 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
24 |
$0.00 |