| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,996 |
8,392 |
$326K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,038 |
3,859 |
$193K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,510 |
1,491 |
$125K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
112 |
111 |
$120K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
885 |
874 |
$109K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,400 |
1,641 |
$50K |
| 97162 |
|
597 |
596 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,526 |
4,819 |
$39K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,703 |
1,665 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,190 |
2,154 |
$28K |
| 97014 |
|
4,256 |
1,899 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
173 |
173 |
$25K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,320 |
638 |
$25K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
187 |
187 |
$25K |
| 99441 |
|
1,284 |
1,239 |
$14K |
| 97124 |
|
1,058 |
593 |
$10K |
| 0012A |
|
246 |
246 |
$7K |
| 99442 |
|
469 |
445 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
300 |
$6K |
| 0011A |
|
266 |
266 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,128 |
1,883 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
223 |
222 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
419 |
417 |
$4K |
| 99205 |
Prolong outpt/office vis |
43 |
43 |
$4K |
| 92134 |
|
88 |
88 |
$4K |
| 99483 |
Prolong outpt/office vis |
28 |
28 |
$4K |
| 99215 |
Prolong outpt/office vis |
75 |
74 |
$3K |
| 0064A |
|
98 |
97 |
$3K |
| 97164 |
|
65 |
63 |
$3K |
| 99386 |
|
76 |
74 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
828 |
764 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
6,018 |
5,850 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
215 |
208 |
$2K |
| 92202 |
|
150 |
149 |
$2K |
| 99385 |
|
37 |
36 |
$2K |
| 90686 |
|
679 |
673 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
83 |
82 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
247 |
239 |
$2K |
| 92250 |
|
38 |
38 |
$1K |
| 3074F |
|
2,250 |
2,130 |
$1K |
| 3078F |
|
2,103 |
1,993 |
$1K |
| 99459 |
|
60 |
59 |
$1K |
| 97163 |
|
16 |
16 |
$967.99 |
| 93000 |
|
132 |
131 |
$862.08 |
| 90461 |
|
226 |
224 |
$557.77 |
| 90715 |
|
15 |
15 |
$490.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
24 |
$488.42 |
| 0001A |
|
12 |
12 |
$430.78 |
| 0071A |
|
12 |
12 |
$400.00 |
| S0610 |
Annual gynecological examination, new patient |
45 |
45 |
$305.20 |
| 90662 |
|
14 |
14 |
$253.55 |
| 81025 |
|
13 |
13 |
$85.18 |
| 1126F |
|
6,623 |
6,139 |
$82.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$60.83 |
| 96127 |
|
89 |
88 |
$50.47 |
| 90687 |
|
35 |
34 |
$9.08 |
| 36416 |
|
122 |
119 |
$8.75 |
| 1125F |
|
1,027 |
968 |
$5.00 |
| 3044F |
|
413 |
405 |
$0.00 |
| 3008F |
|
933 |
898 |
$0.00 |
| 1000F |
|
252 |
235 |
$0.00 |
| 3079F |
|
190 |
180 |
$0.00 |
| 1220F |
|
265 |
231 |
$0.00 |
| 1036F |
|
226 |
197 |
$0.00 |
| 82962 |
|
40 |
39 |
$0.00 |
| 90656 |
|
68 |
68 |
$0.00 |
| 90688 |
|
36 |
36 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
814 |
775 |
$0.00 |
| 3725F |
|
235 |
208 |
$0.00 |
| 1158F |
|
195 |
170 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
172 |
166 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
39 |
38 |
$0.00 |
| 3016F |
|
86 |
69 |
$0.00 |