| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,708 |
17,554 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,059 |
3,424 |
$328K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
4,276 |
3,882 |
$308K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,266 |
3,047 |
$236K |
| 92551 |
|
6,631 |
5,986 |
$46K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,235 |
2,029 |
$40K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
119 |
109 |
$28K |
| 92081 |
|
1,588 |
1,416 |
$27K |
| 93000 |
|
2,442 |
2,149 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
756 |
696 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
145 |
$17K |
| 81002 |
|
7,617 |
6,848 |
$10K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
126 |
103 |
$10K |
| 94729 |
|
198 |
188 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,535 |
3,104 |
$8K |
| 94726 |
|
190 |
181 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
95 |
$7K |
| 85018 |
|
6,662 |
6,025 |
$7K |
| 94750 |
|
90 |
85 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
675 |
626 |
$6K |
| 94060 |
|
112 |
105 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
506 |
241 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
564 |
490 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
233 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
44 |
$3K |
| 94010 |
|
103 |
96 |
$2K |
| 82962 |
|
1,771 |
1,527 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$1K |
| 94760 |
|
676 |
613 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
77 |
71 |
$800.10 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$699.06 |
| 3074F |
|
5,356 |
4,312 |
$425.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$416.36 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
13 |
$413.17 |
| 94727 |
|
17 |
16 |
$340.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$200.03 |
| 3075F |
|
76 |
55 |
$175.00 |
| 90655 |
|
75 |
73 |
$169.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
61 |
28 |
$62.70 |
| 94200 |
|
17 |
16 |
$58.23 |
| 3077F |
|
375 |
326 |
$30.00 |
| 3080F |
|
133 |
117 |
$0.00 |
| 3079F |
|
211 |
155 |
$0.00 |
| 96111 |
|
54 |
52 |
$0.00 |
| 99173 |
|
3,414 |
3,084 |
$0.00 |
| 3078F |
|
5,448 |
4,362 |
$0.00 |