| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73,047 |
53,174 |
$6.82M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,521 |
24,169 |
$3.78M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,739 |
6,677 |
$827K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,027 |
3,989 |
$460K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,843 |
4,546 |
$298K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,087 |
9,857 |
$180K |
| H0049 |
Alcohol and/or drug screening |
10,439 |
10,363 |
$150K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
9,218 |
9,156 |
$133K |
| 90674 |
|
4,588 |
4,572 |
$129K |
| 93000 |
|
4,163 |
4,123 |
$64K |
| 99401 |
|
2,698 |
2,655 |
$55K |
| 90756 |
|
1,940 |
1,937 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
362 |
362 |
$44K |
| 90688 |
|
2,111 |
2,110 |
$40K |
| 0012A |
|
830 |
830 |
$35K |
| 0011A |
|
852 |
852 |
$33K |
| 94664 |
|
1,170 |
1,126 |
$20K |
| 0134A |
|
496 |
496 |
$19K |
| 90661 |
|
503 |
503 |
$18K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
409 |
408 |
$14K |
| 0064A |
|
320 |
320 |
$13K |
| G0008 |
Administration of influenza virus vaccine |
1,449 |
1,433 |
$9K |
| 0013A |
|
209 |
209 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
6,088 |
5,923 |
$8K |
| 99215 |
Prolong outpt/office vis |
32 |
32 |
$6K |
| 99406 |
|
381 |
356 |
$5K |
| 91313 |
|
492 |
492 |
$5K |
| 90658 |
|
403 |
402 |
$4K |
| 86580 |
|
293 |
251 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99072 |
|
483 |
439 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
230 |
229 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
69 |
68 |
$1K |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
56 |
56 |
$980.77 |
| 87110 |
|
55 |
55 |
$928.92 |
| 3078F |
|
279 |
250 |
$664.50 |
| 3074F |
|
254 |
225 |
$600.50 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
2,734 |
2,722 |
$550.63 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
12 |
$336.97 |
| 3075F |
|
116 |
108 |
$294.50 |
| 3079F |
|
105 |
97 |
$272.00 |
| 90750 |
|
38 |
38 |
$270.11 |
| 99051 |
|
49 |
49 |
$108.85 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$28.00 |
| 1160F |
|
2,173 |
2,167 |
$8.14 |
| 1170F |
|
2,175 |
2,167 |
$8.13 |
| 1125F |
|
2,147 |
2,140 |
$8.13 |
| 91306 |
|
312 |
312 |
$3.02 |
| 91301 |
|
1,951 |
1,947 |
$2.03 |
| 90686 |
|
64 |
64 |
$0.00 |
| 1126F |
|
14 |
13 |
$0.00 |
| 1159F |
|
2,173 |
2,167 |
$0.00 |