| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,432 |
14,783 |
$518K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,540 |
14,484 |
$481K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,015 |
1,002 |
$54K |
| 90674 |
|
1,086 |
1,085 |
$17K |
| 99397 |
|
781 |
754 |
$17K |
| 99497 |
|
1,400 |
1,365 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,038 |
1,019 |
$13K |
| 93000 |
|
1,383 |
1,365 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
637 |
609 |
$8K |
| 90756 |
|
227 |
220 |
$4K |
| 77080 |
|
315 |
309 |
$3K |
| 90686 |
|
326 |
326 |
$3K |
| 77066 |
Tomosynthesis, mammo |
207 |
201 |
$3K |
| 90694 |
|
439 |
426 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
470 |
374 |
$1K |
| 96127 |
|
909 |
895 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 90653 |
|
157 |
151 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
51 |
50 |
$857.75 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$561.54 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
35 |
35 |
$442.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
36 |
$205.60 |
| G0008 |
Administration of influenza virus vaccine |
1,266 |
1,241 |
$185.75 |
| 3078F |
|
1,701 |
1,678 |
$182.07 |
| 3074F |
|
1,054 |
1,043 |
$105.03 |
| 99318 |
|
16 |
16 |
$103.97 |
| 3075F |
|
787 |
778 |
$99.00 |
| 3077F |
|
814 |
802 |
$93.00 |
| 3079F |
|
762 |
757 |
$92.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
538 |
499 |
$78.62 |
| 1170F |
|
1,343 |
1,313 |
$64.09 |
| 1125F |
|
824 |
804 |
$41.07 |
| 3044F |
|
403 |
401 |
$34.00 |
| 1160F |
|
1,649 |
1,603 |
$33.04 |
| 3080F |
|
201 |
199 |
$26.00 |
| 1126F |
|
366 |
357 |
$25.00 |
| 90661 |
|
13 |
13 |
$20.70 |
| 1159F |
|
1,409 |
1,373 |
$20.04 |
| 3051F |
|
173 |
171 |
$13.00 |
| 1158F |
|
691 |
680 |
$11.13 |
| 3046F |
|
17 |
16 |
$3.00 |
| 3072F |
|
12 |
12 |
$3.00 |
| 3061F |
|
98 |
97 |
$3.00 |
| 4010F |
|
186 |
179 |
$3.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
178 |
167 |
$2.90 |
| 3045F |
|
29 |
29 |
$2.00 |
| 1111F |
|
62 |
55 |
$1.00 |
| 0509F |
|
181 |
177 |
$0.00 |
| 1101F |
|
206 |
202 |
$0.00 |
| 1123F |
|
46 |
46 |
$0.00 |
| 1030F |
|
83 |
82 |
$0.00 |
| 99457 |
|
48 |
48 |
$0.00 |