| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,184 |
8,013 |
$909K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,231 |
4,353 |
$664K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,100 |
1,100 |
$126K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
539 |
539 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,028 |
1,974 |
$38K |
| 93000 |
|
2,032 |
1,997 |
$29K |
| 90686 |
|
1,330 |
1,330 |
$23K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,032 |
2,016 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
247 |
233 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
4,430 |
4,368 |
$10K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
203 |
203 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
390 |
362 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
173 |
173 |
$5K |
| 90688 |
|
171 |
170 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
98 |
$3K |
| 90707 |
|
53 |
53 |
$3K |
| 82270 |
|
667 |
657 |
$2K |
| 0013A |
|
45 |
45 |
$2K |
| 99173 |
|
261 |
251 |
$1K |
| 90674 |
|
50 |
50 |
$1K |
| 90756 |
|
57 |
57 |
$1K |
| 97803 |
|
5,053 |
3,709 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
294 |
294 |
$1K |
| 0012A |
|
20 |
20 |
$809.27 |
| 90716 |
|
15 |
15 |
$745.41 |
| 0011A |
|
15 |
15 |
$555.73 |
| 92551 |
|
118 |
118 |
$270.46 |
| 90656 |
|
13 |
13 |
$230.58 |
| 3074F |
|
102 |
87 |
$160.00 |
| 3078F |
|
72 |
61 |
$120.00 |
| 3044F |
|
15 |
12 |
$60.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
248 |
248 |
$18.91 |
| S9451 |
Exercise classes, non-physician provider, per session |
4,849 |
3,583 |
$12.04 |
| 91301 |
|
87 |
85 |
$0.21 |
| S9470 |
Nutritional counseling, dietitian visit |
980 |
737 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
318 |
312 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |