| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,795 |
1,637 |
$296K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
946 |
869 |
$242K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,888 |
2,502 |
$237K |
| Z1034 |
|
3,709 |
2,282 |
$228K |
| Z1032 |
|
803 |
803 |
$131K |
| Z6500 |
|
878 |
878 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,214 |
1,074 |
$94K |
| Z6304 |
|
1,418 |
1,156 |
$37K |
| J3490 |
Unclassified drugs |
478 |
387 |
$31K |
| Z6400 |
|
1,989 |
1,389 |
$31K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,108 |
2,108 |
$27K |
| Z6406 |
|
1,101 |
867 |
$23K |
| 59425 |
|
1,037 |
590 |
$21K |
| Z6204 |
|
944 |
715 |
$19K |
| 99000 |
|
4,861 |
4,678 |
$16K |
| Z6410 |
|
439 |
320 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,392 |
1,166 |
$8K |
| 81025 |
|
1,784 |
1,689 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
834 |
822 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
49 |
$5K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
318 |
184 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
34 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
25 |
$3K |
| 92552 |
|
174 |
174 |
$3K |
| 90713 |
|
267 |
267 |
$2K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
410 |
409 |
$1K |
| 90744 |
|
143 |
143 |
$1K |
| 83986 |
|
410 |
409 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
231 |
198 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$1K |
| 90716 |
|
113 |
112 |
$972.00 |
| 90700 |
|
108 |
108 |
$927.00 |
| 92551 |
|
89 |
89 |
$925.69 |
| 92081 |
|
30 |
30 |
$812.53 |
| 90633 |
|
70 |
70 |
$612.00 |
| 90707 |
|
57 |
57 |
$477.00 |
| 85014 |
|
206 |
206 |
$419.90 |
| 96127 |
|
121 |
121 |
$412.91 |
| 81000 |
|
164 |
164 |
$407.96 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
36 |
35 |
$385.58 |
| Z6412 |
|
26 |
13 |
$263.12 |
| 90658 |
|
29 |
29 |
$238.50 |
| 97802 |
|
15 |
15 |
$205.47 |
| 99385 |
|
18 |
14 |
$142.96 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$132.24 |
| 90715 |
|
13 |
13 |
$108.00 |
| 90677 |
|
13 |
13 |
$90.00 |
| 90670 |
|
12 |
12 |
$81.00 |
| 90649 |
|
12 |
12 |
$81.00 |
| 86580 |
|
25 |
24 |
$74.68 |
| 1036F |
|
35 |
35 |
$0.00 |
| 3008F |
|
85 |
76 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
17 |
$0.00 |
| 1170F |
|
34 |
34 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
96 |
$0.00 |
| 1160F |
|
502 |
439 |
$0.00 |
| 1159F |
|
536 |
470 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$0.00 |
| 3078F |
|
31 |
27 |
$0.00 |
| 1124F |
|
18 |
18 |
$0.00 |