| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
6,663 |
6,369 |
$367K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
8,957 |
7,949 |
$250K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,758 |
65,614 |
$164K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,547 |
4,964 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,670 |
2,465 |
$28K |
| 97802 |
|
912 |
868 |
$24K |
| 97803 |
|
1,178 |
1,102 |
$14K |
| 99442 |
|
3,007 |
2,689 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,067 |
1,019 |
$12K |
| 90732 |
|
67 |
65 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,160 |
996 |
$5K |
| 99441 |
|
5,123 |
4,538 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,023 |
2,551 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
900 |
826 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
837 |
751 |
$2K |
| 93000 |
|
1,150 |
1,099 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
737 |
690 |
$810.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,643 |
1,538 |
$793.80 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$792.03 |
| 99348 |
|
12 |
12 |
$717.88 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
526 |
416 |
$716.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,056 |
1,934 |
$684.74 |
| 90656 |
|
462 |
388 |
$438.48 |
| 71046 |
Radiologic examination, chest; 2 views |
101 |
99 |
$433.22 |
| 90651 |
|
854 |
809 |
$426.18 |
| 90686 |
|
1,875 |
1,611 |
$397.61 |
| 90670 |
|
1,051 |
989 |
$375.58 |
| 90716 |
|
521 |
500 |
$338.90 |
| 90791 |
Psychiatric diagnostic evaluation |
65 |
42 |
$293.42 |
| 96127 |
|
4,716 |
4,401 |
$273.80 |
| 90707 |
|
490 |
468 |
$226.50 |
| 90734 |
|
621 |
587 |
$199.93 |
| 90648 |
|
660 |
618 |
$160.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$150.00 |
| 90633 |
|
490 |
460 |
$92.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$79.54 |
| 90723 |
|
337 |
320 |
$68.00 |
| 99381 |
|
13 |
12 |
$67.24 |
| 90696 |
|
93 |
88 |
$64.00 |
| 90681 |
|
176 |
157 |
$52.00 |
| 90688 |
|
431 |
416 |
$49.60 |
| 94664 |
|
685 |
665 |
$45.01 |
| 96160 |
|
2,686 |
2,285 |
$32.62 |
| 90715 |
|
262 |
253 |
$32.00 |
| 90680 |
|
37 |
33 |
$28.00 |
| 90698 |
|
171 |
165 |
$20.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
458 |
439 |
$16.02 |
| 90685 |
|
111 |
104 |
$16.01 |
| 90700 |
|
112 |
109 |
$16.00 |
| 96161 |
|
553 |
540 |
$11.76 |
| 90620 |
|
116 |
106 |
$8.00 |
| 90674 |
|
65 |
63 |
$8.00 |
| 90744 |
|
19 |
19 |
$3.73 |
| 3725F |
|
20,350 |
17,716 |
$0.00 |
| 1159F |
|
27,469 |
24,940 |
$0.00 |
| 99408 |
|
95 |
95 |
$0.00 |
| 98968 |
|
42 |
37 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,102 |
2,894 |
$0.00 |
| 99401 |
|
1,572 |
1,316 |
$0.00 |
| 2028F |
|
354 |
334 |
$0.00 |
| 1160F |
|
27,361 |
24,837 |
$0.00 |
| 3078F |
|
10,562 |
9,528 |
$0.00 |
| 3077F |
|
1,044 |
997 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
289 |
262 |
$0.00 |
| 4013F |
|
924 |
855 |
$0.00 |
| M1055 |
Aspirin or another antiplatelet therapy used |
15 |
15 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
150 |
122 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
191 |
178 |
$0.00 |
| 1158F |
|
1,537 |
1,433 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
289 |
261 |
$0.00 |
| 3062F |
|
32 |
26 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 3050F |
|
112 |
106 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
97 |
$0.00 |
| 3015F |
|
34 |
32 |
$0.00 |
| 99397 |
|
16 |
16 |
$0.00 |
| 99382 |
|
34 |
33 |
$0.00 |
| 90621 |
|
43 |
39 |
$0.00 |
| 1126F |
|
13,745 |
12,536 |
$0.00 |
| 3074F |
|
9,613 |
8,743 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,982 |
4,642 |
$0.00 |
| 3008F |
|
6,791 |
6,194 |
$0.00 |
| 1125F |
|
7,450 |
6,909 |
$0.00 |
| 1000F |
|
3,767 |
3,473 |
$0.00 |
| 3049F |
|
190 |
182 |
$0.00 |
| 99368 |
|
470 |
440 |
$0.00 |
| 90650 |
|
16 |
16 |
$0.00 |
| 3079F |
|
4,128 |
3,899 |
$0.00 |
| 3014F |
|
66 |
63 |
$0.00 |
| 96150 |
|
6,445 |
6,146 |
$0.00 |
| 3075F |
|
3,370 |
3,151 |
$0.00 |
| 3048F |
|
567 |
542 |
$0.00 |
| 1036F |
|
3,586 |
3,310 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,808 |
3,532 |
$0.00 |
| 12002 |
|
31 |
31 |
$0.00 |
| 4010F |
|
1,653 |
1,546 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
255 |
250 |
$0.00 |
| 99050 |
|
193 |
185 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
72 |
62 |
$0.00 |
| 3011F |
|
400 |
392 |
$0.00 |
| 99383 |
|
43 |
43 |
$0.00 |
| 99443 |
|
21 |
19 |
$0.00 |
| 3017F |
|
136 |
136 |
$0.00 |
| 1111F |
|
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
252 |
224 |
$0.00 |
| 1170F |
|
329 |
314 |
$0.00 |
| 1035F |
|
36 |
35 |
$0.00 |
| 12004 |
|
61 |
61 |
$0.00 |
| 4000F |
|
141 |
140 |
$0.00 |
| 2000F |
|
297 |
271 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
242 |
230 |
$0.00 |
| 99384 |
|
20 |
20 |
$0.00 |
| 99070 |
|
165 |
165 |
$0.00 |
| 3060F |
|
13 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
59 |
59 |
$0.00 |
| 1034F |
|
44 |
40 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
14 |
13 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 96156 |
|
48 |
46 |
$0.00 |