| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,476 |
43,276 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,697 |
2,032 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
81 |
81 |
$407.00 |
| 90670 |
|
957 |
947 |
$206.39 |
| 99441 |
|
6,091 |
5,009 |
$137.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,347 |
964 |
$127.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
963 |
796 |
$126.00 |
| 99050 |
|
1,397 |
1,207 |
$95.00 |
| 92558 |
|
1,762 |
1,734 |
$88.30 |
| 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 |
5,947 |
4,869 |
$84.20 |
| 96160 |
|
2,087 |
1,876 |
$77.83 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,036 |
1,782 |
$77.57 |
| 96127 |
|
2,425 |
2,350 |
$51.48 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
719 |
530 |
$12.00 |
| 99177 |
|
1,530 |
1,505 |
$10.00 |
| 85013 |
|
177 |
172 |
$7.00 |
| 90716 |
|
549 |
507 |
$6.00 |
| 90656 |
|
629 |
618 |
$6.00 |
| 90707 |
|
559 |
516 |
$6.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
943 |
874 |
$5.00 |
| 90688 |
|
734 |
725 |
$0.00 |
| 90680 |
|
321 |
320 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
160 |
155 |
$0.00 |
| 1170F |
|
4,154 |
3,545 |
$0.00 |
| 90651 |
|
508 |
479 |
$0.00 |
| 3074F |
|
4,182 |
3,581 |
$0.00 |
| 90647 |
|
418 |
414 |
$0.00 |
| 1157F |
|
3,046 |
2,627 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
891 |
876 |
$0.00 |
| 1125F |
|
3,819 |
3,255 |
$0.00 |
| 81000 |
|
383 |
382 |
$0.00 |
| 90620 |
|
390 |
375 |
$0.00 |
| 1126F |
|
514 |
457 |
$0.00 |
| 92551 |
|
270 |
267 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
114 |
113 |
$0.00 |
| 90686 |
|
1,718 |
1,481 |
$0.00 |
| 99174 |
|
116 |
116 |
$0.00 |
| 3049F |
|
138 |
123 |
$0.00 |
| 84478 |
|
67 |
65 |
$0.00 |
| 3017F |
|
75 |
63 |
$0.00 |
| 3048F |
|
62 |
60 |
$0.00 |
| 90723 |
|
56 |
55 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
71 |
67 |
$0.00 |
| 86580 |
|
226 |
224 |
$0.00 |
| 82270 |
|
28 |
28 |
$0.00 |
| 90696 |
|
67 |
67 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
13 |
13 |
$0.00 |
| 3044F |
|
98 |
87 |
$0.00 |
| 85018 |
|
177 |
172 |
$0.00 |
| 96150 |
|
72 |
71 |
$0.00 |
| 90698 |
|
81 |
78 |
$0.00 |
| 3079F |
|
70 |
70 |
$0.00 |
| 3008F |
|
62 |
60 |
$0.00 |
| 90677 |
|
54 |
42 |
$0.00 |
| 86701 |
|
12 |
12 |
$0.00 |
| 96156 |
|
17 |
17 |
$0.00 |
| 3061F |
|
15 |
12 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
28 |
28 |
$0.00 |
| 1160F |
|
4,135 |
3,566 |
$0.00 |
| 90715 |
|
470 |
449 |
$0.00 |
| 3077F |
|
79 |
75 |
$0.00 |
| 1159F |
|
4,444 |
3,829 |
$0.00 |
| 90649 |
|
316 |
315 |
$0.00 |
| 90734 |
|
631 |
610 |
$0.00 |
| 80061 |
Lipid panel |
517 |
514 |
$0.00 |
| 1158F |
|
3,111 |
2,708 |
$0.00 |
| 90633 |
|
775 |
754 |
$0.00 |
| 3078F |
|
4,137 |
3,534 |
$0.00 |
| 90685 |
|
131 |
130 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
672 |
628 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
45 |
$0.00 |
| 0521F |
|
1,414 |
1,172 |
$0.00 |
| 99401 |
|
1,686 |
1,609 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
27 |
27 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
38 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
827 |
755 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
224 |
221 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
76 |
$0.00 |
| 83718 |
|
67 |
65 |
$0.00 |
| 99408 |
|
89 |
45 |
$0.00 |
| 90621 |
|
43 |
42 |
$0.00 |
| 90648 |
|
19 |
19 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
101 |
87 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 96152 |
|
139 |
136 |
$0.00 |
| 83655 |
|
117 |
114 |
$0.00 |
| 99173 |
|
320 |
315 |
$0.00 |
| 82465 |
|
67 |
65 |
$0.00 |
| 2028F |
|
71 |
67 |
$0.00 |