| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,735 |
4,849 |
$313K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,276 |
1,275 |
$101K |
| 20553 |
|
994 |
922 |
$43K |
| 20610 |
|
440 |
336 |
$20K |
| 93970 |
|
79 |
79 |
$11K |
| 99385 |
|
94 |
94 |
$7K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,406 |
1,244 |
$7K |
| 20611 |
|
102 |
79 |
$6K |
| 20552 |
|
158 |
146 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
66 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
92 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
141 |
140 |
$3K |
| 0101T |
|
30 |
13 |
$3K |
| 99441 |
|
60 |
56 |
$2K |
| 99401 |
|
108 |
97 |
$2K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
297 |
289 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
111 |
109 |
$991.66 |
| 99402 |
|
61 |
56 |
$794.59 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,540 |
1,365 |
$701.20 |
| 99406 |
|
86 |
85 |
$607.49 |
| 80305 |
|
222 |
217 |
$544.85 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
81 |
81 |
$543.52 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
124 |
108 |
$455.12 |
| 36415 |
Collection of venous blood by venipuncture |
224 |
216 |
$361.70 |
| 99386 |
|
13 |
13 |
$352.43 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
121 |
121 |
$313.53 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
69 |
65 |
$225.11 |
| 93000 |
|
32 |
32 |
$217.77 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
93 |
87 |
$123.04 |
| H0049 |
Alcohol and/or drug screening |
14 |
14 |
$111.50 |
| 87070 |
|
30 |
30 |
$106.09 |
| A4660 |
Sphygmomanometer/blood pressure apparatus with cuff and stethoscope |
25 |
22 |
$71.38 |
| 81002 |
|
42 |
41 |
$52.58 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$47.28 |
| 81025 |
|
13 |
12 |
$39.21 |
| 3078F |
|
84 |
79 |
$20.00 |
| 3074F |
|
106 |
94 |
$20.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
59 |
56 |
$9.73 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
448 |
396 |
$0.43 |
| 3015F |
|
106 |
89 |
$0.00 |
| 1160F |
|
125 |
109 |
$0.00 |
| G4018 |
Obstetrics/gynecology mips specialty set |
146 |
140 |
$0.00 |
| 1033F |
|
38 |
37 |
$0.00 |
| 1159F |
|
219 |
193 |
$0.00 |
| 3028F |
|
191 |
167 |
$0.00 |
| 3511F |
|
34 |
33 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
12 |
$0.00 |
| 2000F |
|
219 |
190 |
$0.00 |
| 3008F |
|
147 |
139 |
$0.00 |
| 2001F |
|
225 |
196 |
$0.00 |
| 1126F |
|
103 |
89 |
$0.00 |
| 2010F |
|
241 |
214 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
14 |
12 |
$0.00 |
| 99000 |
|
78 |
77 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |
| 1036F |
|
14 |
12 |
$0.00 |