| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,053 |
60,642 |
$438K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,954 |
7,864 |
$366K |
| 90697 |
|
2,528 |
2,520 |
$135K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23,663 |
22,199 |
$123K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,145 |
9,086 |
$113K |
| G9920 |
Screening performed and negative |
35,021 |
29,184 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,959 |
9,876 |
$89K |
| 99381 |
|
1,259 |
1,252 |
$82K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,833 |
5,793 |
$76K |
| 92551 |
|
26,528 |
26,329 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,950 |
6,918 |
$59K |
| 99188 |
|
3,357 |
3,346 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,082 |
2,070 |
$50K |
| 99460 |
|
903 |
898 |
$44K |
| 96156 |
|
8,982 |
8,930 |
$39K |
| 90670 |
|
6,735 |
6,666 |
$35K |
| 90651 |
|
4,669 |
4,635 |
$34K |
| 90648 |
|
6,246 |
6,130 |
$29K |
| 90680 |
|
4,188 |
4,053 |
$26K |
| 99383 |
|
605 |
601 |
$25K |
| 90686 |
|
6,927 |
6,891 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,491 |
3,424 |
$21K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32,790 |
30,538 |
$19K |
| 90723 |
|
2,826 |
2,723 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,251 |
3,233 |
$15K |
| 0011A |
|
431 |
356 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,241 |
4,903 |
$13K |
| 99384 |
|
298 |
293 |
$12K |
| 0012A |
|
305 |
303 |
$12K |
| 90633 |
|
4,604 |
4,577 |
$12K |
| 99462 |
|
456 |
377 |
$12K |
| 90700 |
|
3,577 |
3,516 |
$12K |
| 99382 |
|
295 |
294 |
$11K |
| 93000 |
|
1,356 |
1,344 |
$10K |
| 90715 |
|
3,070 |
3,055 |
$9K |
| 90671 |
|
1,696 |
1,693 |
$9K |
| 90744 |
|
1,119 |
1,107 |
$8K |
| 90713 |
|
1,581 |
1,531 |
$8K |
| 90716 |
|
2,495 |
2,456 |
$7K |
| 90707 |
|
2,422 |
2,388 |
$7K |
| 90710 |
|
2,314 |
2,301 |
$7K |
| 90734 |
|
2,618 |
2,589 |
$6K |
| 99307 |
|
840 |
840 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
247 |
245 |
$6K |
| 90696 |
|
2,248 |
2,233 |
$5K |
| 90681 |
|
818 |
815 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,370 |
4,235 |
$5K |
| D1206 |
Topical application of fluoride varnish |
1,226 |
1,222 |
$5K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,825 |
2,758 |
$4K |
| 85018 |
|
17,222 |
16,981 |
$3K |
| 81002 |
|
16,010 |
15,685 |
$3K |
| 0071A |
|
72 |
72 |
$3K |
| 90620 |
|
1,901 |
1,891 |
$2K |
| 0072A |
|
49 |
49 |
$2K |
| 0064A |
|
43 |
43 |
$2K |
| G9919 |
Screening performed and positive and provision of recommendations |
645 |
642 |
$2K |
| 99442 |
|
206 |
199 |
$2K |
| 0001A |
|
34 |
34 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
184 |
183 |
$1K |
| 99215 |
Prolong outpt/office vis |
238 |
237 |
$1K |
| 90619 |
|
1,108 |
1,107 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,629 |
6,211 |
$1K |
| 0004A |
|
23 |
23 |
$920.00 |
| 99443 |
|
197 |
191 |
$918.30 |
| 0052A |
|
21 |
21 |
$840.00 |
| 99406 |
|
5,711 |
5,301 |
$814.81 |
| 81000 |
|
1,664 |
1,661 |
$781.41 |
| 0054A |
|
19 |
19 |
$760.00 |
| 90688 |
|
311 |
311 |
$700.27 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29,891 |
14,954 |
$414.24 |
| 1125F |
|
2,992 |
2,939 |
$400.00 |
| 90656 |
|
153 |
153 |
$369.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,408 |
7,107 |
$330.28 |
| 96127 |
|
418 |
393 |
$304.20 |
| 96161 |
|
4,270 |
4,242 |
$275.72 |
| 94760 |
|
848 |
834 |
$261.30 |
| 96160 |
|
7,467 |
7,393 |
$259.21 |
| 90461 |
|
8,038 |
6,160 |
$247.80 |
| 90674 |
|
16 |
16 |
$234.36 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,583 |
1,571 |
$217.60 |
| 99173 |
|
21,612 |
21,497 |
$212.50 |
| 99496 |
|
286 |
282 |
$150.00 |
| 99385 |
|
59 |
59 |
$142.96 |
| 17110 |
|
32 |
25 |
$128.08 |
| H0049 |
Alcohol and/or drug screening |
9,401 |
9,176 |
$100.00 |
| 90658 |
|
27 |
27 |
$76.22 |
| 82962 |
|
1,018 |
995 |
$70.10 |
| 3725F |
|
525 |
508 |
$64.69 |
| 3008F |
|
43,064 |
41,195 |
$54.36 |
| 99000 |
|
471 |
466 |
$53.21 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
18 |
18 |
$47.28 |
| 99091 |
|
25 |
25 |
$34.64 |
| 1101F |
|
719 |
719 |
$33.54 |
| 81025 |
|
173 |
172 |
$26.31 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$12.63 |
| 88150 |
|
234 |
234 |
$11.38 |
| 88738 |
|
3,570 |
3,476 |
$10.00 |
| 99441 |
|
25 |
25 |
$7.13 |
| 1036F |
|
21,949 |
20,660 |
$0.02 |
| 3074F |
|
1,763 |
1,733 |
$0.00 |
| 3079F |
|
1,145 |
1,125 |
$0.00 |
| 3061F |
|
575 |
569 |
$0.00 |
| 1111F |
|
708 |
697 |
$0.00 |
| 1000F |
|
9,393 |
9,178 |
$0.00 |
| S8110 |
Peak expiratory flow rate (physician services) |
333 |
327 |
$0.00 |
| 1126F |
|
3,182 |
3,150 |
$0.00 |
| 3080F |
|
412 |
402 |
$0.00 |
| 1170F |
|
6,864 |
6,633 |
$0.00 |
| 3075F |
|
870 |
858 |
$0.00 |
| 3354F |
|
12 |
12 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
111 |
110 |
$0.00 |
| 1220F |
|
2,469 |
2,335 |
$0.00 |
| 3353F |
|
361 |
349 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 99495 |
|
119 |
117 |
$0.00 |
| 3352F |
|
25 |
24 |
$0.00 |
| 3351F |
|
1,576 |
1,501 |
$0.00 |
| 3044F |
|
62 |
62 |
$0.00 |
| 1034F |
|
169 |
168 |
$0.00 |
| 87110 |
|
13 |
13 |
$0.00 |
| 1160F |
|
5,287 |
5,144 |
$0.00 |
| 3077F |
|
633 |
615 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
440 |
438 |
$0.00 |
| 4004F |
|
713 |
681 |
$0.00 |
| 1159F |
|
5,457 |
5,315 |
$0.00 |
| 1032F |
|
434 |
423 |
$0.00 |
| 3078F |
|
1,838 |
1,812 |
$0.00 |
| 1158F |
|
1,678 |
1,655 |
$0.00 |
| 99408 |
|
512 |
508 |
$0.00 |
| 1090F |
|
291 |
290 |
$0.00 |
| A4614 |
Peak expiratory flow rate meter, hand held |
65 |
65 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
12 |
$0.00 |