| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,095 |
37,352 |
$181K |
| 92551 |
|
17,365 |
17,288 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,045 |
19,249 |
$75K |
| 96156 |
|
13,983 |
13,954 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,919 |
4,880 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,599 |
9,453 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,816 |
5,771 |
$42K |
| 90686 |
|
4,529 |
4,513 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,704 |
7,057 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,825 |
3,770 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,101 |
1,071 |
$30K |
| J3490 |
Unclassified drugs |
417 |
371 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,070 |
2,991 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,318 |
3,266 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,158 |
4,137 |
$13K |
| 99383 |
|
218 |
204 |
$13K |
| 90734 |
|
2,019 |
2,018 |
$13K |
| 90651 |
|
1,877 |
1,876 |
$12K |
| 99384 |
|
139 |
130 |
$11K |
| 90715 |
|
1,061 |
1,052 |
$9K |
| 99381 |
|
153 |
142 |
$9K |
| 90648 |
|
1,305 |
1,278 |
$9K |
| 90670 |
|
1,277 |
1,264 |
$9K |
| 0012A |
|
477 |
325 |
$9K |
| 90633 |
|
1,242 |
1,236 |
$8K |
| 0011A |
|
585 |
387 |
$7K |
| 99000 |
|
22,355 |
20,861 |
$7K |
| 90723 |
|
842 |
837 |
$6K |
| 0064A |
|
264 |
183 |
$6K |
| 90620 |
|
807 |
806 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
9,964 |
9,924 |
$5K |
| 93000 |
|
279 |
274 |
$5K |
| 86580 |
|
675 |
650 |
$5K |
| 90732 |
|
79 |
67 |
$4K |
| 92552 |
|
347 |
347 |
$3K |
| 90716 |
|
427 |
422 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,622 |
2,608 |
$3K |
| 90710 |
|
449 |
448 |
$3K |
| 90696 |
|
449 |
447 |
$3K |
| 85018 |
|
11,109 |
10,881 |
$3K |
| 96127 |
|
12,381 |
12,324 |
$3K |
| 90677 |
|
302 |
301 |
$2K |
| 90707 |
|
288 |
286 |
$2K |
| 90681 |
|
256 |
255 |
$2K |
| 90697 |
|
316 |
315 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,639 |
1,615 |
$2K |
| 81025 |
|
2,797 |
2,739 |
$2K |
| 99382 |
|
33 |
27 |
$2K |
| 90656 |
|
234 |
234 |
$1K |
| 90700 |
|
162 |
160 |
$1K |
| 81002 |
|
6,990 |
6,826 |
$942.05 |
| 99497 |
|
16 |
16 |
$685.02 |
| G9919 |
Screening performed and positive and provision of recommendations |
582 |
576 |
$551.00 |
| 90713 |
|
49 |
49 |
$406.32 |
| 90671 |
|
106 |
105 |
$314.58 |
| 0031A |
|
18 |
18 |
$270.00 |
| 90685 |
|
33 |
33 |
$267.00 |
| 99070 |
|
597 |
589 |
$200.50 |
| G9920 |
Screening performed and negative |
765 |
762 |
$174.00 |
| 0134A |
|
24 |
24 |
$160.00 |
| 99406 |
|
182 |
180 |
$157.01 |
| 90474 |
|
27 |
27 |
$150.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$101.58 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
184 |
178 |
$74.50 |
| 99173 |
|
16,525 |
16,478 |
$64.72 |
| 82947 |
|
26 |
25 |
$4.76 |
| 36415 |
Collection of venous blood by venipuncture |
15,300 |
14,588 |
$2.94 |
| 1170F |
|
249 |
243 |
$0.34 |
| 3351F |
|
8,932 |
8,902 |
$0.00 |
| 3074F |
|
6,878 |
6,410 |
$0.00 |
| 1036F |
|
19,144 |
16,940 |
$0.00 |
| 99385 |
|
124 |
123 |
$0.00 |
| 1031F |
|
43,776 |
40,266 |
$0.00 |
| 3079F |
|
4,176 |
3,936 |
$0.00 |
| 36416 |
|
906 |
900 |
$0.00 |
| 3008F |
|
8,132 |
7,619 |
$0.00 |
| 3075F |
|
2,056 |
1,978 |
$0.00 |
| 4293F |
|
1,519 |
1,470 |
$0.00 |
| 3353F |
|
269 |
265 |
$0.00 |
| 1034F |
|
1,786 |
1,585 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
4,096 |
4,081 |
$0.00 |
| 2001F |
|
8,112 |
7,604 |
$0.00 |
| 3754F |
|
493 |
491 |
$0.00 |
| 3352F |
|
189 |
189 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
8,146 |
4,652 |
$0.00 |
| 91301 |
|
451 |
446 |
$0.00 |
| 1000F |
|
1,506 |
1,304 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
1,570 |
820 |
$0.00 |
| 3044F |
|
3,765 |
3,757 |
$0.00 |
| 3354F |
|
66 |
66 |
$0.00 |
| 3080F |
|
699 |
648 |
$0.00 |
| 91306 |
|
120 |
120 |
$0.00 |
| 17000 |
|
53 |
49 |
$0.00 |
| 96161 |
|
1,043 |
1,040 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
42 |
$0.00 |
| 99441 |
|
380 |
356 |
$0.00 |
| 99386 |
|
78 |
78 |
$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) |
1,491 |
1,472 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,575 |
3,562 |
$0.00 |
| 1160F |
|
245 |
239 |
$0.00 |
| 3078F |
|
6,270 |
5,775 |
$0.00 |
| 3725F |
|
12,497 |
12,429 |
$0.00 |
| 99072 |
|
2,774 |
2,480 |
$0.00 |
| 3077F |
|
2,421 |
2,196 |
$0.00 |
| 3016F |
|
2,564 |
2,564 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
510 |
508 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,266 |
1,266 |
$0.00 |
| 96160 |
|
265 |
262 |
$0.00 |
| 99442 |
|
234 |
207 |
$0.00 |
| 3046F |
|
69 |
69 |
$0.00 |
| 3051F |
|
44 |
44 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
27 |
$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 |
12 |
12 |
$0.00 |