| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,354 |
1,248 |
$3K |
| 99406 |
|
887 |
785 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
261 |
252 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
49 |
$824.23 |
| 92081 |
|
128 |
128 |
$717.64 |
| 92552 |
|
208 |
208 |
$678.87 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
119 |
117 |
$581.79 |
| 3008F |
|
1,233 |
1,176 |
$541.26 |
| 99385 |
|
12 |
12 |
$486.81 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$428.51 |
| 92551 |
|
69 |
69 |
$384.78 |
| 87110 |
|
131 |
131 |
$363.70 |
| 97803 |
|
122 |
119 |
$325.00 |
| 96151 |
|
57 |
56 |
$293.59 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
203 |
198 |
$264.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
244 |
225 |
$260.66 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
35 |
35 |
$212.40 |
| 99407 |
|
55 |
47 |
$177.57 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
26 |
$116.78 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
32 |
$81.18 |
| 1159F |
|
234 |
221 |
$79.50 |
| 1160F |
|
236 |
225 |
$72.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
32 |
$49.68 |
| 0521F |
|
76 |
76 |
$48.00 |
| 97802 |
|
44 |
44 |
$45.95 |
| 3074F |
|
112 |
110 |
$45.00 |
| 3078F |
|
87 |
86 |
$45.00 |
| 1125F |
|
33 |
33 |
$33.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
30 |
$32.32 |
| 1220F |
|
55 |
55 |
$30.00 |
| 96127 |
|
14 |
14 |
$23.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$22.09 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$15.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
12 |
$12.00 |
| 1170F |
|
38 |
38 |
$12.00 |
| 2010F |
|
51 |
51 |
$12.00 |
| 0509F |
|
38 |
38 |
$12.00 |
| 1101F |
|
38 |
38 |
$12.00 |
| 1090F |
|
38 |
38 |
$12.00 |
| 1003F |
|
50 |
50 |
$12.00 |
| 2014F |
|
51 |
51 |
$12.00 |
| 99173 |
|
118 |
118 |
$11.36 |
| 3015F |
|
14 |
14 |
$3.00 |
| 0518F |
|
24 |
24 |
$3.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
67 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |
| 90686 |
|
28 |
28 |
$0.00 |
| 1126F |
|
16 |
16 |
$0.00 |
| 99442 |
|
189 |
169 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |