| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,475 |
19,831 |
$1.69M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,567 |
8,918 |
$745K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
10,415 |
9,777 |
$369K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,970 |
2,834 |
$355K |
| 96156 |
|
3,338 |
3,315 |
$318K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,935 |
4,647 |
$206K |
| 92551 |
|
6,150 |
6,044 |
$158K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,216 |
4,177 |
$134K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,611 |
7,081 |
$118K |
| 96127 |
|
10,207 |
9,498 |
$112K |
| 99000 |
|
8,307 |
7,733 |
$98K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
736 |
713 |
$88K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,729 |
2,552 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,236 |
1,198 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
400 |
366 |
$59K |
| 99215 |
Prolong outpt/office vis |
465 |
448 |
$53K |
| 99406 |
|
1,926 |
1,790 |
$52K |
| G9920 |
Screening performed and negative |
2,126 |
2,086 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,581 |
2,522 |
$49K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
538 |
330 |
$49K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
424 |
421 |
$49K |
| Z1034 |
|
876 |
534 |
$48K |
| 99401 |
|
1,451 |
1,363 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
892 |
866 |
$47K |
| 97802 |
|
2,116 |
2,043 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
452 |
383 |
$31K |
| 90686 |
|
1,752 |
1,735 |
$27K |
| 99497 |
|
313 |
311 |
$26K |
| 99496 |
|
143 |
141 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
492 |
484 |
$23K |
| 90715 |
|
759 |
753 |
$22K |
| 82962 |
|
1,744 |
1,658 |
$21K |
| 81000 |
|
4,774 |
4,492 |
$19K |
| 96151 |
|
848 |
825 |
$19K |
| 99173 |
|
567 |
547 |
$19K |
| 90651 |
|
457 |
448 |
$17K |
| 90682 |
|
256 |
255 |
$14K |
| 85018 |
|
4,558 |
4,454 |
$11K |
| 99070 |
|
381 |
378 |
$11K |
| 93000 |
|
248 |
245 |
$10K |
| 99385 |
|
66 |
66 |
$10K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
241 |
236 |
$9K |
| 82948 |
|
377 |
355 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
57 |
$6K |
| 90656 |
|
361 |
360 |
$5K |
| 88150 |
|
180 |
180 |
$5K |
| 92081 |
|
66 |
66 |
$4K |
| 99205 |
Prolong outpt/office vis |
29 |
29 |
$4K |
| 90732 |
|
25 |
25 |
$3K |
| 83655 |
|
323 |
241 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
167 |
159 |
$2K |
| 90670 |
|
100 |
96 |
$2K |
| Z1032 |
|
12 |
12 |
$2K |
| 90734 |
|
157 |
154 |
$2K |
| 99188 |
|
248 |
231 |
$2K |
| 90671 |
|
56 |
56 |
$2K |
| 90685 |
|
171 |
170 |
$2K |
| 99386 |
|
26 |
26 |
$2K |
| 87110 |
|
82 |
82 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$1K |
| 81025 |
|
359 |
349 |
$1K |
| 90620 |
|
97 |
96 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 81002 |
|
35 |
32 |
$739.26 |
| 87070 |
|
98 |
98 |
$733.14 |
| 86580 |
|
27 |
24 |
$660.31 |
| 96150 |
|
28 |
28 |
$651.28 |
| 90756 |
|
16 |
16 |
$497.92 |
| A4267 |
Contraceptive supply, condom, male, each |
42 |
42 |
$465.78 |
| 90633 |
|
51 |
50 |
$441.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
66 |
$299.30 |
| 90658 |
|
17 |
17 |
$153.00 |
| 90698 |
|
15 |
15 |
$135.00 |
| 90680 |
|
14 |
14 |
$126.00 |
| 90697 |
|
13 |
13 |
$90.00 |
| 81005 |
|
26 |
16 |
$48.62 |
| 3078F |
|
3,334 |
2,961 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,179 |
2,011 |
$0.00 |
| 3008F |
|
5,583 |
4,777 |
$0.00 |
| 3079F |
|
438 |
408 |
$0.00 |
| 3074F |
|
3,261 |
2,873 |
$0.00 |
| 3075F |
|
425 |
398 |
$0.00 |