| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,401 |
11,978 |
$450K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,175 |
1,088 |
$323K |
| 97802 |
|
4,424 |
4,405 |
$20K |
| 96156 |
|
2,011 |
2,010 |
$18K |
| 92551 |
|
2,946 |
2,932 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,997 |
1,990 |
$14K |
| 90686 |
|
973 |
966 |
$12K |
| 99384 |
|
62 |
48 |
$8K |
| 99383 |
|
64 |
49 |
$7K |
| 99000 |
|
1,833 |
1,829 |
$7K |
| 88141 |
|
94 |
48 |
$5K |
| 90682 |
|
110 |
99 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,195 |
2,190 |
$2K |
| G9920 |
Screening performed and negative |
2,706 |
2,701 |
$2K |
| 90688 |
|
154 |
118 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
450 |
448 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,767 |
1,766 |
$1K |
| 90620 |
|
108 |
101 |
$1K |
| 81002 |
|
4,127 |
4,074 |
$1K |
| 85018 |
|
3,339 |
3,293 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,163 |
1,160 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,041 |
5,025 |
$1K |
| 90715 |
|
115 |
97 |
$993.30 |
| 90734 |
|
162 |
157 |
$888.44 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
253 |
252 |
$808.63 |
| 99402 |
|
12 |
12 |
$683.16 |
| 99442 |
|
401 |
390 |
$609.12 |
| G9919 |
Screening performed and positive and provision of recommendations |
226 |
226 |
$575.00 |
| 90658 |
|
41 |
17 |
$443.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
165 |
164 |
$299.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
121 |
$297.42 |
| 99406 |
|
649 |
648 |
$297.16 |
| 90649 |
|
166 |
166 |
$276.18 |
| 1158F |
|
2,072 |
2,071 |
$275.00 |
| 81025 |
|
83 |
83 |
$232.37 |
| 90633 |
|
19 |
19 |
$171.00 |
| 86580 |
|
15 |
13 |
$164.37 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,321 |
2,307 |
$158.55 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
622 |
615 |
$149.00 |
| 83655 |
|
17 |
17 |
$142.97 |
| 99188 |
|
27 |
27 |
$125.00 |
| 90744 |
|
12 |
12 |
$108.00 |
| H0049 |
Alcohol and/or drug screening |
1,433 |
1,432 |
$100.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
351 |
340 |
$96.20 |
| 3078F |
|
324 |
319 |
$50.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
53 |
28 |
$25.20 |
| 3074F |
|
156 |
152 |
$25.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
28 |
20 |
$17.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
32 |
$12.96 |
| 80061 |
Lipid panel |
438 |
430 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
280 |
276 |
$0.00 |
| 3077F |
|
54 |
53 |
$0.00 |
| 86696 |
|
187 |
184 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 81003 |
|
351 |
342 |
$0.00 |
| 82274 |
|
15 |
15 |
$0.00 |
| 1159F |
|
21 |
21 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$0.00 |
| 1160F |
|
21 |
21 |
$0.00 |
| 85610 |
|
16 |
13 |
$0.00 |
| 99397 |
|
19 |
19 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
530 |
496 |
$0.00 |
| 0545F |
|
394 |
391 |
$0.00 |
| 99385 |
|
161 |
158 |
$0.00 |
| 3061F |
|
148 |
145 |
$0.00 |
| 86592 |
|
314 |
309 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
405 |
397 |
$0.00 |
| 86695 |
|
185 |
182 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
539 |
504 |
$0.00 |
| 82043 |
|
107 |
106 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
279 |
275 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
1,233 |
1,228 |
$0.00 |
| 87081 |
|
85 |
82 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
472 |
424 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
429 |
418 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
153 |
150 |
$0.00 |
| 1031F |
|
43 |
43 |
$0.00 |
| 99386 |
|
25 |
25 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
310 |
305 |
$0.00 |
| 3351F |
|
295 |
285 |
$0.00 |
| 3044F |
|
31 |
28 |
$0.00 |
| 84153 |
|
13 |
12 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 1170F |
|
21 |
21 |
$0.00 |