| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,795 |
40,116 |
$386K |
| 96160 |
|
9,157 |
8,800 |
$258K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,120 |
2,035 |
$48K |
| 99051 |
|
771 |
690 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,520 |
8,622 |
$33K |
| 99050 |
|
852 |
772 |
$29K |
| 97802 |
|
1,254 |
1,214 |
$20K |
| 97803 |
|
1,241 |
1,203 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,299 |
1,248 |
$16K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
383 |
368 |
$9K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
513 |
498 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
596 |
585 |
$5K |
| 99348 |
|
634 |
626 |
$5K |
| 99441 |
|
1,969 |
1,785 |
$4K |
| 0004A |
|
110 |
105 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
381 |
376 |
$4K |
| 0001A |
|
78 |
69 |
$2K |
| 0002A |
|
76 |
68 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
311 |
288 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,448 |
1,360 |
$2K |
| 90656 |
|
170 |
169 |
$2K |
| 93000 |
|
314 |
304 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,256 |
1,176 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
373 |
368 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
128 |
115 |
$1K |
| 99215 |
Prolong outpt/office vis |
98 |
97 |
$1K |
| 76770 |
|
78 |
77 |
$1K |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
71 |
71 |
$1K |
| 76536 |
|
330 |
328 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
74 |
69 |
$940.00 |
| 99442 |
|
225 |
222 |
$890.56 |
| 94760 |
|
257 |
239 |
$836.06 |
| 94664 |
|
172 |
155 |
$826.74 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
76 |
73 |
$735.91 |
| 72100 |
|
185 |
183 |
$497.88 |
| 0071A |
|
13 |
13 |
$480.00 |
| 0072A |
|
12 |
12 |
$440.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
792 |
719 |
$402.73 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$400.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
765 |
729 |
$379.04 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
190 |
167 |
$284.28 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
46 |
46 |
$224.40 |
| 90832 |
Psychotherapy, 30 minutes with patient |
227 |
205 |
$222.58 |
| 80053 |
Comprehensive metabolic panel |
14 |
13 |
$197.40 |
| 76830 |
Ultrasound, transvaginal |
64 |
64 |
$143.73 |
| 90834 |
Psychotherapy, 45 minutes with patient |
107 |
104 |
$80.00 |
| 73560 |
|
26 |
25 |
$74.12 |
| 0054A |
|
14 |
13 |
$40.00 |
| 73120 |
|
14 |
14 |
$37.06 |
| G0008 |
Administration of influenza virus vaccine |
303 |
293 |
$15.58 |
| 96127 |
|
787 |
761 |
$9.86 |
| 1158F |
|
9,247 |
8,811 |
$8.82 |
| 90658 |
|
123 |
111 |
$4.00 |
| 4013F |
|
2,216 |
2,178 |
$0.00 |
| 1160F |
|
14,873 |
14,111 |
$0.00 |
| 3077F |
|
3,695 |
3,545 |
$0.00 |
| 0521F |
|
4,217 |
3,982 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
199 |
193 |
$0.00 |
| 3078F |
|
12,828 |
12,065 |
$0.00 |
| 3050F |
|
1,420 |
1,390 |
$0.00 |
| 1159F |
|
16,634 |
15,795 |
$0.00 |
| 2028F |
|
1,491 |
1,469 |
$0.00 |
| 74018 |
|
12 |
12 |
$0.00 |
| 4035F |
|
416 |
414 |
$0.00 |
| 3045F |
|
138 |
129 |
$0.00 |
| 2022F |
|
13 |
13 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
12 |
12 |
$0.00 |
| 99401 |
|
268 |
249 |
$0.00 |
| 3051F |
|
241 |
241 |
$0.00 |
| 3046F |
|
40 |
40 |
$0.00 |
| 0518F |
|
19 |
19 |
$0.00 |
| 4120F |
|
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 3028F |
|
15 |
15 |
$0.00 |
| 99408 |
|
18 |
18 |
$0.00 |
| 1157F |
|
4,712 |
4,345 |
$0.00 |
| 1126F |
|
7,133 |
6,787 |
$0.00 |
| 1170F |
|
12,291 |
11,381 |
$0.00 |
| 4016F |
|
811 |
786 |
$0.00 |
| 1036F |
|
3,582 |
3,454 |
$0.00 |
| 4010F |
|
2,175 |
2,141 |
$0.00 |
| 3049F |
|
1,594 |
1,556 |
$0.00 |
| 3074F |
|
11,556 |
10,843 |
$0.00 |
| 3061F |
|
553 |
535 |
$0.00 |
| 3075F |
|
2,144 |
2,061 |
$0.00 |
| 3044F |
|
3,409 |
3,345 |
$0.00 |
| 3008F |
|
22,366 |
20,720 |
$0.00 |
| 3080F |
|
1,238 |
1,186 |
$0.00 |
| 1125F |
|
5,637 |
5,341 |
$0.00 |
| 3060F |
|
113 |
112 |
$0.00 |
| 1111F |
|
65 |
64 |
$0.00 |
| 3017F |
|
2,651 |
2,604 |
$0.00 |
| 3079F |
|
3,068 |
2,916 |
$0.00 |
| 3048F |
|
2,773 |
2,711 |
$0.00 |
| 1000F |
|
4,039 |
3,916 |
$0.00 |
| 1034F |
|
222 |
211 |
$0.00 |
| 2001F |
|
902 |
865 |
$0.00 |
| 2010F |
|
286 |
270 |
$0.00 |
| 3014F |
|
680 |
669 |
$0.00 |
| 1030F |
|
115 |
115 |
$0.00 |
| 99443 |
|
19 |
17 |
$0.00 |
| 3011F |
|
43 |
43 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
17 |
$0.00 |
| 99402 |
|
140 |
133 |
$0.00 |
| 4000F |
|
183 |
180 |
$0.00 |
| 1022F |
|
30 |
30 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
37 |
$0.00 |
| 72040 |
|
24 |
24 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
19 |
19 |
$0.00 |
| 2000F |
|
29 |
29 |
$0.00 |