| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,361 |
13,862 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,435 |
6,809 |
$400K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,407 |
2,387 |
$230K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,044 |
1,031 |
$99K |
| 99215 |
Prolong outpt/office vis |
887 |
853 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,211 |
1,200 |
$77K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
813 |
797 |
$72K |
| 95251 |
|
1,460 |
1,451 |
$26K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
415 |
383 |
$16K |
| 82962 |
|
5,323 |
4,694 |
$11K |
| 95250 |
|
135 |
132 |
$10K |
| 99441 |
|
381 |
329 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,279 |
2,216 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
92 |
83 |
$7K |
| 81002 |
|
2,229 |
2,142 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
52 |
50 |
$5K |
| 99442 |
|
119 |
103 |
$5K |
| 90686 |
|
297 |
294 |
$5K |
| 99408 |
|
270 |
270 |
$5K |
| 88342 |
|
207 |
198 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
303 |
303 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
341 |
335 |
$3K |
| 99406 |
|
300 |
287 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
71 |
36 |
$2K |
| 96127 |
|
664 |
634 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
137 |
129 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 93000 |
|
172 |
168 |
$1K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
37 |
$953.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
120 |
112 |
$894.81 |
| 81025 |
|
104 |
104 |
$675.91 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$597.30 |
| 82044 |
|
107 |
106 |
$470.19 |
| 96160 |
|
441 |
438 |
$392.73 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
165 |
160 |
$243.09 |
| 88304 |
|
33 |
31 |
$208.94 |
| 3074F |
|
3,533 |
3,262 |
$1.35 |
| 3078F |
|
3,084 |
2,842 |
$0.98 |
| 3079F |
|
1,763 |
1,701 |
$0.79 |
| 3008F |
|
7,988 |
7,165 |
$0.52 |
| 3075F |
|
1,050 |
1,005 |
$0.30 |
| 3077F |
|
529 |
503 |
$0.15 |
| G9002 |
Coordinated care fee, maintenance rate |
33 |
29 |
$0.04 |
| 3044F |
|
393 |
365 |
$0.03 |
| 1126F |
|
378 |
360 |
$0.02 |
| 1036F |
|
2,637 |
2,406 |
$0.01 |
| 1034F |
|
1,593 |
1,462 |
$0.00 |
| 3061F |
|
170 |
168 |
$0.00 |
| 3048F |
|
179 |
168 |
$0.00 |
| 3060F |
|
119 |
119 |
$0.00 |
| 2023F |
|
70 |
64 |
$0.00 |
| 1125F |
|
224 |
209 |
$0.00 |
| 3080F |
|
224 |
212 |
$0.00 |
| 1035F |
|
76 |
73 |
$0.00 |
| 3052F |
|
13 |
12 |
$0.00 |
| 2028F |
|
371 |
368 |
$0.00 |
| 3046F |
|
289 |
265 |
$0.00 |
| 3725F |
|
288 |
277 |
$0.00 |
| G9920 |
Screening performed and negative |
61 |
61 |
$0.00 |
| 1160F |
|
1,149 |
1,066 |
$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) |
473 |
459 |
$0.00 |
| 3051F |
|
41 |
40 |
$0.00 |
| 3288F |
|
329 |
312 |
$0.00 |