| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,359 |
16,062 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,867 |
77,033 |
$996K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,693 |
12,621 |
$790K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,936 |
11,613 |
$754K |
| 96156 |
|
9,597 |
9,502 |
$375K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,192 |
14,434 |
$282K |
| 99381 |
|
2,571 |
2,520 |
$250K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,551 |
3,543 |
$248K |
| G9920 |
Screening performed and negative |
12,405 |
12,134 |
$247K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,736 |
7,635 |
$206K |
| 92552 |
|
20,866 |
20,797 |
$113K |
| 99188 |
|
5,436 |
5,349 |
$74K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,233 |
7,150 |
$62K |
| 90670 |
|
9,820 |
9,630 |
$48K |
| 90698 |
|
7,785 |
7,641 |
$41K |
| 90686 |
|
8,714 |
8,552 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
638 |
581 |
$36K |
| 99383 |
|
440 |
431 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
477 |
476 |
$29K |
| 90744 |
|
5,476 |
5,380 |
$28K |
| 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 |
24,647 |
21,888 |
$26K |
| 90633 |
|
5,608 |
5,503 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
74 |
73 |
$24K |
| 90680 |
|
5,768 |
5,656 |
$24K |
| 90707 |
|
5,708 |
5,570 |
$21K |
| 92551 |
|
4,147 |
4,142 |
$21K |
| 90716 |
|
5,892 |
5,757 |
$21K |
| Z1034 |
|
377 |
280 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,001 |
743 |
$19K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,019 |
2,013 |
$18K |
| 99382 |
|
203 |
203 |
$17K |
| 0072A |
|
466 |
441 |
$17K |
| 81002 |
|
23,690 |
22,888 |
$17K |
| 0071A |
|
425 |
415 |
$16K |
| 90696 |
|
2,713 |
2,634 |
$15K |
| 85018 |
|
15,627 |
15,208 |
$12K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
42 |
42 |
$11K |
| 99384 |
|
137 |
137 |
$11K |
| 90681 |
|
1,208 |
1,202 |
$11K |
| 90651 |
|
1,937 |
1,936 |
$11K |
| 0002A |
|
305 |
299 |
$10K |
| 90700 |
|
2,574 |
2,513 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,396 |
751 |
$10K |
| 0001A |
|
438 |
411 |
$10K |
| 83655 |
|
1,680 |
1,654 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
127 |
127 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
270 |
170 |
$6K |
| 99173 |
|
17,163 |
17,118 |
$6K |
| 99070 |
|
5,511 |
5,196 |
$5K |
| 90715 |
|
1,197 |
1,197 |
$5K |
| 90647 |
|
1,800 |
1,769 |
$5K |
| 99462 |
|
151 |
92 |
$3K |
| 82947 |
|
2,919 |
2,190 |
$3K |
| 90649 |
|
835 |
798 |
$3K |
| 99000 |
|
1,619 |
1,520 |
$3K |
| 90620 |
|
608 |
606 |
$3K |
| 0003A |
|
65 |
65 |
$3K |
| 90677 |
|
552 |
539 |
$2K |
| 85014 |
|
1,306 |
1,306 |
$2K |
| 90734 |
|
1,110 |
1,101 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
55 |
55 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
187 |
186 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
67 |
64 |
$2K |
| 90461 |
|
196 |
195 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
286 |
231 |
$1K |
| Z1032 |
|
12 |
12 |
$1K |
| 0082A |
|
56 |
34 |
$1K |
| 90655 |
|
149 |
147 |
$1K |
| 0081A |
|
48 |
36 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
186 |
185 |
$1K |
| 90619 |
|
526 |
525 |
$1K |
| 99385 |
|
42 |
42 |
$1K |
| 99460 |
|
30 |
30 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
41 |
41 |
$1K |
| 86580 |
|
228 |
226 |
$938.56 |
| 81000 |
|
1,204 |
1,204 |
$776.67 |
| 0073A |
|
28 |
19 |
$720.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
30 |
$700.00 |
| 90656 |
|
67 |
67 |
$567.00 |
| 92060 |
|
3,239 |
3,235 |
$404.89 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
12 |
$218.16 |
| 81025 |
|
332 |
323 |
$170.43 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
372 |
367 |
$137.67 |
| 88142 |
|
241 |
241 |
$132.08 |
| 90713 |
|
62 |
62 |
$117.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
20 |
20 |
$96.12 |
| 99205 |
Prolong outpt/office vis |
64 |
64 |
$89.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
210 |
192 |
$57.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
42 |
$45.70 |
| H0049 |
Alcohol and/or drug screening |
2,254 |
2,225 |
$28.00 |
| 96127 |
|
154 |
153 |
$12.99 |
| 88150 |
|
20 |
20 |
$11.50 |
| 99406 |
|
14 |
13 |
$9.37 |
| H1000 |
Prenatal care, at-risk assessment |
18 |
16 |
$2.15 |
| 3079F |
|
143 |
137 |
$0.00 |
| 99050 |
|
146 |
142 |
$0.00 |
| 97802 |
|
143 |
142 |
$0.00 |
| 3074F |
|
352 |
328 |
$0.00 |
| 3008F |
|
409 |
391 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
421 |
403 |
$0.00 |
| 3075F |
|
47 |
47 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
110 |
110 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
13 |
13 |
$0.00 |
| 96160 |
|
294 |
293 |
$0.00 |
| 3078F |
|
271 |
250 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
133 |
133 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,211 |
1,170 |
$0.00 |
| 1159F |
|
103 |
96 |
$0.00 |
| 3077F |
|
31 |
25 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
99 |
95 |
$0.00 |
| 99221 |
|
13 |
13 |
$0.00 |
| 99401 |
|
26 |
26 |
$0.00 |
| 82948 |
|
118 |
105 |
$0.00 |
| 1160F |
|
65 |
63 |
$0.00 |