| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,356 |
40,330 |
$4.95M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,762 |
10,662 |
$979K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,518 |
3,973 |
$510K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
6,803 |
4,233 |
$346K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,584 |
3,465 |
$303K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,700 |
3,530 |
$300K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,538 |
2,430 |
$274K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,138 |
983 |
$256K |
| 95117 |
|
12,844 |
7,401 |
$251K |
| H0001 |
Alcohol and/or drug assessment |
2,636 |
2,628 |
$247K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,057 |
5,020 |
$241K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,416 |
2,304 |
$240K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
8,763 |
8,712 |
$212K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,985 |
1,937 |
$166K |
| 97032 |
|
11,338 |
2,784 |
$164K |
| 94060 |
|
988 |
955 |
$151K |
| 99000 |
|
8,134 |
7,668 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,732 |
1,719 |
$148K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,135 |
1,123 |
$129K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
6,481 |
2,213 |
$125K |
| 99441 |
|
886 |
841 |
$98K |
| 97035 |
|
7,131 |
2,375 |
$87K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,573 |
1,570 |
$84K |
| 99401 |
|
2,048 |
1,968 |
$73K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,698 |
1,208 |
$65K |
| 95024 |
|
377 |
357 |
$59K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,048 |
2,041 |
$59K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
5,042 |
4,130 |
$54K |
| 97162 |
|
527 |
517 |
$52K |
| 36415 |
Collection of venous blood by venipuncture |
18,669 |
18,037 |
$50K |
| 99385 |
|
536 |
531 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
358 |
354 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
443 |
437 |
$42K |
| 97597 |
|
118 |
69 |
$41K |
| 99442 |
|
350 |
338 |
$40K |
| 90686 |
|
1,699 |
1,692 |
$37K |
| 11900 |
|
118 |
110 |
$34K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
268 |
267 |
$32K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
123 |
119 |
$32K |
| 97802 |
|
2,958 |
2,941 |
$30K |
| 99173 |
|
839 |
835 |
$26K |
| 97602 |
|
45 |
26 |
$26K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
738 |
735 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,781 |
3,700 |
$22K |
| 92587 |
|
321 |
320 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
50 |
47 |
$21K |
| 99443 |
|
161 |
159 |
$20K |
| 93970 |
|
37 |
37 |
$19K |
| 92250 |
|
214 |
214 |
$19K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,412 |
1,399 |
$18K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
272 |
271 |
$16K |
| 11056 |
|
66 |
63 |
$16K |
| 17110 |
|
60 |
54 |
$15K |
| 11721 |
|
267 |
249 |
$14K |
| 97535 |
Self-care/home management training, each 15 minutes |
694 |
270 |
$13K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
200 |
186 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
621 |
597 |
$12K |
| 92060 |
|
153 |
153 |
$11K |
| 90672 |
|
626 |
619 |
$9K |
| 76830 |
Ultrasound, transvaginal |
93 |
89 |
$8K |
| 97010 |
|
1,621 |
528 |
$8K |
| 99406 |
|
206 |
196 |
$8K |
| 90656 |
|
738 |
736 |
$8K |
| 11102 |
|
13 |
13 |
$7K |
| 3078F |
|
8,408 |
7,032 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$7K |
| 90836 |
|
66 |
56 |
$7K |
| 92285 |
|
110 |
110 |
$6K |
| 90461 |
|
1,272 |
1,253 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
646 |
644 |
$6K |
| 99386 |
|
52 |
50 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,224 |
1,201 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
62 |
57 |
$5K |
| 76942 |
|
26 |
26 |
$5K |
| 90473 |
|
579 |
576 |
$5K |
| 92552 |
|
72 |
71 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
37 |
37 |
$4K |
| 93000 |
|
1,438 |
1,416 |
$4K |
| 10040 |
|
16 |
14 |
$4K |
| 20550 |
|
15 |
13 |
$4K |
| 90651 |
|
320 |
319 |
$4K |
| 90685 |
|
278 |
278 |
$4K |
| 92201 |
|
39 |
37 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
50 |
$3K |
| 92020 |
|
42 |
38 |
$3K |
| 90734 |
|
251 |
251 |
$2K |
| 99383 |
|
25 |
25 |
$2K |
| H0049 |
Alcohol and/or drug screening |
112 |
111 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| 92002 |
|
26 |
25 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
163 |
139 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
4,949 |
4,905 |
$2K |
| 90660 |
|
120 |
120 |
$2K |
| 90619 |
|
82 |
82 |
$2K |
| 99397 |
|
36 |
36 |
$2K |
| 90649 |
|
53 |
53 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
386 |
386 |
$1K |
| 90838 |
|
13 |
13 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 90715 |
|
84 |
84 |
$1K |
| 88325 |
|
35 |
35 |
$1K |
| 99188 |
|
24 |
24 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
259 |
254 |
$993.23 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,052 |
10,730 |
$975.16 |
| 92499 |
|
23 |
23 |
$951.07 |
| 92015 |
Determination of refractive state |
77 |
71 |
$919.10 |
| 90620 |
|
69 |
69 |
$871.85 |
| 90670 |
|
26 |
26 |
$773.50 |
| 0071A |
|
31 |
29 |
$719.88 |
| 90658 |
|
64 |
64 |
$697.45 |
| 90633 |
|
41 |
41 |
$677.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
99 |
99 |
$640.79 |
| 0013A |
|
17 |
16 |
$592.32 |
| 86703 |
|
24 |
24 |
$318.57 |
| 90744 |
|
13 |
13 |
$301.20 |
| 0072A |
|
14 |
14 |
$285.00 |
| 90674 |
|
23 |
23 |
$276.11 |
| 36410 |
|
15 |
15 |
$246.40 |
| 3074F |
|
8,499 |
7,415 |
$242.82 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
2,681 |
2,673 |
$154.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
19,177 |
16,647 |
$128.48 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
111 |
110 |
$124.43 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
19,595 |
16,963 |
$121.36 |
| 90688 |
|
86 |
86 |
$91.06 |
| 87070 |
|
458 |
454 |
$83.23 |
| 1126F |
|
9,520 |
8,265 |
$76.56 |
| 97124 |
|
34 |
16 |
$72.71 |
| 94760 |
|
69 |
64 |
$45.66 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
5,401 |
4,932 |
$24.90 |
| 96127 |
|
19 |
19 |
$21.92 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,879 |
1,707 |
$14.08 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
1,393 |
1,289 |
$10.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
701 |
667 |
$4.50 |
| 3075F |
|
1,586 |
1,487 |
$2.13 |
| 3077F |
|
1,104 |
994 |
$1.35 |
| 3008F |
|
14,551 |
12,404 |
$1.18 |
| 91301 |
|
35 |
32 |
$1.00 |
| 2010F |
|
12,612 |
10,646 |
$0.59 |
| 1160F |
|
11,055 |
9,540 |
$0.57 |
| 1159F |
|
11,511 |
9,912 |
$0.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
65 |
63 |
$0.12 |
| 99408 |
|
41 |
40 |
$0.06 |
| 3725F |
|
1,964 |
1,827 |
$0.00 |
| 3016F |
|
217 |
217 |
$0.00 |
| 87400 |
|
27 |
26 |
$0.00 |
| 81002 |
|
19 |
19 |
$0.00 |
| 99071 |
|
36 |
36 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,481 |
1,464 |
$0.00 |
| 3080F |
|
317 |
295 |
$0.00 |
| 3079F |
|
3,232 |
2,955 |
$0.00 |
| 2000F |
|
128 |
126 |
$0.00 |
| 1125F |
|
1,714 |
1,648 |
$0.00 |
| 1036F |
|
806 |
804 |
$0.00 |
| 1000F |
|
1,261 |
1,257 |
$0.00 |
| 84480 |
|
19 |
19 |
$0.00 |
| 0513F |
|
1,088 |
911 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
70 |
65 |
$0.00 |
| 84703 |
|
15 |
15 |
$0.00 |
| 36406 |
|
16 |
16 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |