| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
7,016 |
7,005 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,585 |
45,808 |
$28K |
| 90734 |
|
2,192 |
2,186 |
$10K |
| 90686 |
|
1,884 |
1,884 |
$7K |
| 96156 |
|
8,100 |
8,082 |
$7K |
| 90651 |
|
2,596 |
2,591 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,630 |
15,279 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,526 |
9,199 |
$4K |
| 93000 |
|
225 |
222 |
$4K |
| G9920 |
Screening performed and negative |
3,524 |
3,512 |
$3K |
| 86580 |
|
527 |
523 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,430 |
16,847 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
676 |
674 |
$1K |
| 90710 |
|
482 |
480 |
$1K |
| 94760 |
|
29,130 |
25,307 |
$1K |
| 90670 |
|
666 |
664 |
$761.73 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,852 |
1,847 |
$640.65 |
| 90696 |
|
259 |
259 |
$621.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
688 |
686 |
$525.00 |
| 90633 |
|
435 |
433 |
$471.00 |
| 88141 |
|
672 |
670 |
$315.35 |
| 69210 |
|
12 |
12 |
$285.00 |
| 99441 |
|
2,630 |
2,508 |
$207.90 |
| 81002 |
|
5,852 |
5,554 |
$134.49 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
943 |
898 |
$125.08 |
| 90698 |
|
120 |
120 |
$117.00 |
| 99442 |
|
2,705 |
2,568 |
$89.10 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
253 |
251 |
$78.10 |
| 99215 |
Prolong outpt/office vis |
1,459 |
1,438 |
$67.96 |
| 99443 |
|
294 |
272 |
$54.45 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
198 |
193 |
$37.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
377 |
368 |
$31.85 |
| 82947 |
|
3,408 |
2,978 |
$19.71 |
| 90680 |
|
56 |
56 |
$18.00 |
| 90648 |
|
193 |
193 |
$18.00 |
| 90700 |
|
137 |
136 |
$18.00 |
| 96160 |
|
4,130 |
4,110 |
$15.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
557 |
546 |
$10.27 |
| 84702 |
|
446 |
437 |
$9.90 |
| 90620 |
|
841 |
840 |
$9.00 |
| 90713 |
|
12 |
12 |
$9.00 |
| 99173 |
|
9,748 |
9,728 |
$2.28 |
| 3079F |
|
1,105 |
1,096 |
$0.00 |
| 3008F |
|
29,696 |
27,429 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,517 |
11,435 |
$0.00 |
| 97802 |
|
152 |
152 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,240 |
1,218 |
$0.00 |
| 3080F |
|
1,037 |
1,027 |
$0.00 |
| 3353F |
|
2,755 |
2,727 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
914 |
904 |
$0.00 |
| 3074F |
|
963 |
951 |
$0.00 |
| 3351F |
|
9,949 |
9,875 |
$0.00 |
| 3075F |
|
327 |
326 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
706 |
706 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,094 |
4,090 |
$0.00 |
| 82728 |
|
61 |
61 |
$0.00 |
| 3061F |
|
523 |
514 |
$0.00 |
| 3044F |
|
1,383 |
1,114 |
$0.00 |
| 84153 |
|
31 |
30 |
$0.00 |
| 3060F |
|
14 |
14 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
1,064 |
1,061 |
$0.00 |
| 85652 |
|
357 |
350 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
251 |
250 |
$0.00 |
| 86592 |
|
95 |
94 |
$0.00 |
| 3017F |
|
41 |
41 |
$0.00 |
| 82043 |
|
360 |
357 |
$0.00 |
| 82746 |
|
282 |
280 |
$0.00 |
| 82607 |
|
286 |
284 |
$0.00 |
| 87340 |
|
36 |
36 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
89 |
85 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
985 |
973 |
$0.00 |
| 83735 |
|
246 |
246 |
$0.00 |
| 99384 |
|
39 |
39 |
$0.00 |
| 99386 |
|
88 |
88 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
82 |
81 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,701 |
1,625 |
$0.00 |
| 83550 |
|
28 |
27 |
$0.00 |
| 3014F |
|
177 |
174 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
798 |
789 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,389 |
1,346 |
$0.00 |
| 96161 |
|
622 |
622 |
$0.00 |
| 86140 |
|
41 |
39 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
129 |
129 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 83014 |
|
30 |
30 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
126 |
124 |
$0.00 |
| 99385 |
|
43 |
43 |
$0.00 |
| 85027 |
|
66 |
66 |
$0.00 |
| 99383 |
|
34 |
34 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
25 |
$0.00 |
| 87070 |
|
38 |
37 |
$0.00 |
| 3341F |
|
24 |
24 |
$0.00 |
| 3052F |
|
21 |
13 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 1220F |
|
93 |
87 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,353 |
1,349 |
$0.00 |
| 90715 |
|
971 |
969 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
1,200 |
1,198 |
$0.00 |
| 3077F |
|
2,154 |
2,130 |
$0.00 |
| 3046F |
|
429 |
361 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
760 |
759 |
$0.00 |
| 86038 |
|
54 |
52 |
$0.00 |
| 3015F |
|
63 |
63 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
354 |
353 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,183 |
2,153 |
$0.00 |
| 3078F |
|
1,557 |
1,533 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,437 |
2,435 |
$0.00 |
| 97803 |
|
1,382 |
1,381 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,461 |
3,455 |
$0.00 |
| 83540 |
|
29 |
28 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,039 |
2,033 |
$0.00 |
| 3051F |
|
324 |
244 |
$0.00 |
| 3045F |
|
40 |
39 |
$0.00 |
| 82570 |
|
263 |
259 |
$0.00 |
| 81003 |
|
807 |
795 |
$0.00 |
| 80061 |
Lipid panel |
1,001 |
990 |
$0.00 |
| 1159F |
|
136 |
133 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,961 |
1,942 |
$0.00 |
| 84439 |
|
374 |
370 |
$0.00 |
| 83655 |
|
98 |
98 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
89 |
85 |
$0.00 |
| 83013 |
|
32 |
32 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |
| 84550 |
|
29 |
29 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
25 |
25 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
57 |
$0.00 |
| 86003 |
|
26 |
26 |
$0.00 |
| 86431 |
|
12 |
12 |
$0.00 |