| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,889 |
13,057 |
$56K |
| 97802 |
|
10,737 |
8,723 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,916 |
1,674 |
$10K |
| H0049 |
Alcohol and/or drug screening |
9,943 |
8,319 |
$6K |
| 99441 |
|
855 |
823 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,388 |
1,305 |
$5K |
| 99383 |
|
92 |
86 |
$4K |
| Z1034 |
|
74 |
46 |
$4K |
| 92552 |
|
1,242 |
1,240 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
806 |
792 |
$4K |
| 99384 |
|
120 |
112 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
706 |
703 |
$3K |
| 59514 |
|
12 |
12 |
$3K |
| G9920 |
Screening performed and negative |
2,743 |
2,731 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,823 |
3,762 |
$3K |
| 99408 |
|
7,569 |
6,413 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
426 |
425 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
110 |
$2K |
| 81003 |
|
6,773 |
6,547 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
522 |
512 |
$2K |
| 93000 |
|
757 |
749 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,312 |
4,243 |
$2K |
| 59425 |
|
44 |
26 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
40 |
37 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,378 |
1,370 |
$1K |
| 99442 |
|
813 |
788 |
$1K |
| 85018 |
|
3,838 |
3,778 |
$1K |
| 92551 |
|
1,569 |
1,567 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
18 |
$1K |
| 99382 |
|
19 |
16 |
$617.94 |
| 90658 |
|
159 |
159 |
$611.89 |
| 99173 |
|
2,509 |
2,505 |
$528.09 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
14 |
$474.96 |
| 90651 |
|
175 |
175 |
$439.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
193 |
184 |
$379.52 |
| 96156 |
|
1,618 |
1,576 |
$357.79 |
| 99386 |
|
56 |
56 |
$350.00 |
| 99000 |
|
1,577 |
1,556 |
$342.07 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
752 |
751 |
$324.75 |
| 90700 |
|
154 |
154 |
$324.00 |
| 90713 |
|
111 |
111 |
$306.00 |
| 99385 |
|
179 |
179 |
$300.00 |
| 82962 |
|
1,963 |
1,902 |
$295.14 |
| 90633 |
|
74 |
74 |
$243.00 |
| 59025 |
Fetal non-stress test |
29 |
28 |
$240.14 |
| 90686 |
|
244 |
244 |
$222.82 |
| 90716 |
|
59 |
59 |
$216.00 |
| 1126F |
|
14,003 |
11,765 |
$201.93 |
| 90715 |
|
114 |
114 |
$171.00 |
| 90734 |
|
129 |
129 |
$127.80 |
| 90707 |
|
29 |
29 |
$108.00 |
| 84478 |
|
154 |
153 |
$100.04 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
53 |
52 |
$96.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
203 |
203 |
$85.62 |
| 96161 |
|
432 |
432 |
$79.00 |
| 90656 |
|
332 |
332 |
$78.00 |
| 90670 |
|
37 |
37 |
$72.00 |
| 96160 |
|
1,694 |
1,684 |
$50.00 |
| 90744 |
|
12 |
12 |
$45.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
415 |
404 |
$32.32 |
| 81025 |
|
15 |
15 |
$24.22 |
| 90650 |
|
209 |
209 |
$22.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$20.00 |
| 86580 |
|
15 |
15 |
$16.98 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
660 |
589 |
$9.90 |
| 1160F |
|
15,469 |
12,643 |
$1.95 |
| 1159F |
|
16,093 |
13,172 |
$1.95 |
| 3008F |
|
15,521 |
12,614 |
$1.90 |
| 1036F |
|
8,669 |
7,153 |
$1.55 |
| 4004F |
|
2,167 |
1,993 |
$0.48 |
| 3078F |
|
2,836 |
2,409 |
$0.36 |
| 3074F |
|
2,624 |
2,231 |
$0.32 |
| 3075F |
|
410 |
398 |
$0.19 |
| 3079F |
|
286 |
275 |
$0.15 |
| 1111F |
|
1,946 |
1,791 |
$0.06 |
| 3044F |
|
574 |
518 |
$0.03 |
| 1034F |
|
188 |
148 |
$0.02 |
| 3077F |
|
242 |
232 |
$0.00 |
| 1124F |
|
4,515 |
3,949 |
$0.00 |
| 3288F |
|
2,992 |
2,683 |
$0.00 |
| 1033F |
|
106 |
99 |
$0.00 |
| 1090F |
|
2,702 |
2,420 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
103 |
103 |
$0.00 |
| 84439 |
|
60 |
60 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
94 |
84 |
$0.00 |
| 3046F |
|
19 |
16 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
15 |
13 |
$0.00 |
| 3061F |
|
42 |
39 |
$0.00 |
| 1125F |
|
2,701 |
2,549 |
$0.00 |
| 3351F |
|
401 |
393 |
$0.00 |
| 1170F |
|
3,892 |
3,438 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
965 |
841 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,166 |
3,146 |
$0.00 |
| 1220F |
|
48 |
48 |
$0.00 |
| 1123F |
|
4,384 |
3,839 |
$0.00 |
| 2001F |
|
29 |
29 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,237 |
1,961 |
$0.00 |
| 99447 |
|
39 |
38 |
$0.00 |
| 99406 |
|
119 |
90 |
$0.00 |
| 3080F |
|
56 |
54 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
28 |
$0.00 |
| 82270 |
|
172 |
170 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
74 |
67 |
$0.00 |
| 3352F |
|
32 |
32 |
$0.00 |
| 3353F |
|
41 |
37 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| 88141 |
|
12 |
12 |
$0.00 |