| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
69,629 |
60,700 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,717 |
28,780 |
$35K |
| 90461 |
|
2,936 |
2,494 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,322 |
3,573 |
$23K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
5,860 |
5,450 |
$19K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,029 |
1,805 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,757 |
1,571 |
$7K |
| 97802 |
|
205 |
204 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
957 |
835 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
882 |
796 |
$3K |
| 99441 |
|
8,129 |
7,251 |
$2K |
| 99205 |
Prolong outpt/office vis |
110 |
105 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,851 |
1,738 |
$1K |
| 90670 |
|
812 |
709 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
117 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,172 |
1,112 |
$930.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
10,773 |
9,627 |
$839.43 |
| 97803 |
|
80 |
75 |
$761.45 |
| 92551 |
|
1,750 |
1,704 |
$612.07 |
| 90651 |
|
756 |
682 |
$489.27 |
| 90734 |
|
482 |
435 |
$451.72 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,416 |
1,335 |
$277.09 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
354 |
338 |
$248.24 |
| 99050 |
|
1,041 |
962 |
$198.00 |
| 99443 |
|
517 |
493 |
$189.52 |
| 99442 |
|
1,791 |
1,640 |
$183.85 |
| 90715 |
|
168 |
150 |
$165.60 |
| 99401 |
|
1,527 |
1,497 |
$123.24 |
| 99403 |
|
1,319 |
1,305 |
$122.55 |
| 99173 |
|
1,635 |
1,586 |
$67.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,005 |
980 |
$48.09 |
| 96160 |
|
3,776 |
3,732 |
$45.29 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
881 |
675 |
$32.22 |
| 96127 |
|
1,829 |
1,795 |
$26.00 |
| 96161 |
|
442 |
421 |
$23.49 |
| 90698 |
|
329 |
322 |
$12.00 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
290 |
263 |
$8.86 |
| 86580 |
|
92 |
89 |
$8.65 |
| 90633 |
|
577 |
526 |
$6.00 |
| 90707 |
|
204 |
196 |
$6.00 |
| 90716 |
|
318 |
305 |
$6.00 |
| 96150 |
|
260 |
257 |
$0.03 |
| 92552 |
|
2,382 |
2,366 |
$0.02 |
| 3008F |
|
39,419 |
36,090 |
$0.01 |
| 1160F |
|
27,272 |
25,572 |
$0.00 |
| 2027F |
|
421 |
413 |
$0.00 |
| 3078F |
|
18,735 |
17,608 |
$0.00 |
| 3077F |
|
2,669 |
2,482 |
$0.00 |
| 99348 |
|
233 |
230 |
$0.00 |
| 3050F |
|
2,061 |
1,941 |
$0.00 |
| 0521F |
|
5,043 |
4,794 |
$0.00 |
| 1159F |
|
28,287 |
26,407 |
$0.00 |
| 3095F |
|
2,716 |
2,610 |
$0.00 |
| 86703 |
|
535 |
528 |
$0.00 |
| 3725F |
|
5,809 |
5,071 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
114 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 2022F |
|
565 |
535 |
$0.00 |
| 99177 |
|
2,058 |
2,041 |
$0.00 |
| 90621 |
|
90 |
86 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
147 |
114 |
$0.00 |
| 3016F |
|
13 |
13 |
$0.00 |
| 90685 |
|
265 |
258 |
$0.00 |
| 1158F |
|
26 |
26 |
$0.00 |
| 3342F |
|
27 |
25 |
$0.00 |
| 96152 |
|
178 |
150 |
$0.00 |
| 3015F |
|
639 |
627 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
38 |
$0.00 |
| 3046F |
|
30 |
26 |
$0.00 |
| 2025F |
|
19 |
19 |
$0.00 |
| 98966 |
|
29 |
27 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
52 |
49 |
$0.00 |
| 3045F |
|
13 |
13 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 4004F |
|
25 |
25 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 2026F |
|
15 |
15 |
$0.00 |
| 2014F |
|
17 |
17 |
$0.00 |
| 3075F |
|
7,232 |
6,860 |
$0.00 |
| 1030F |
|
760 |
704 |
$0.00 |
| 3049F |
|
2,912 |
2,725 |
$0.00 |
| 1036F |
|
8,167 |
7,526 |
$0.00 |
| 1125F |
|
8,547 |
7,956 |
$0.00 |
| 1126F |
|
17,526 |
16,675 |
$0.00 |
| 3079F |
|
9,258 |
8,717 |
$0.00 |
| 3017F |
|
6,002 |
5,665 |
$0.00 |
| 3074F |
|
20,330 |
18,953 |
$0.00 |
| 3044F |
|
4,054 |
3,783 |
$0.00 |
| 3080F |
|
1,501 |
1,379 |
$0.00 |
| 1170F |
|
18,092 |
16,491 |
$0.00 |
| 3060F |
|
579 |
524 |
$0.00 |
| 3061F |
|
2,245 |
2,054 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,738 |
1,624 |
$0.00 |
| 3048F |
|
6,061 |
5,676 |
$0.00 |
| 3014F |
|
3,278 |
3,081 |
$0.00 |
| 1157F |
|
567 |
519 |
$0.00 |
| 1111F |
|
346 |
337 |
$0.00 |
| 4000F |
|
70 |
69 |
$0.00 |
| 3072F |
|
316 |
309 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
49 |
49 |
$0.00 |
| 2010F |
|
206 |
190 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
141 |
140 |
$0.00 |
| 2001F |
|
464 |
436 |
$0.00 |
| 3268F |
|
399 |
373 |
$0.00 |
| 90744 |
|
84 |
84 |
$0.00 |
| 3512F |
|
238 |
219 |
$0.00 |
| 90686 |
|
186 |
149 |
$0.00 |
| 90620 |
|
30 |
30 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
336 |
332 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
144 |
68 |
$0.00 |
| 99174 |
|
796 |
795 |
$0.00 |
| 1022F |
|
123 |
120 |
$0.00 |
| 90680 |
|
44 |
44 |
$0.00 |
| 92558 |
|
283 |
281 |
$0.00 |
| 2023F |
|
163 |
159 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$0.00 |
| 96151 |
|
130 |
105 |
$0.00 |
| 2000F |
|
44 |
42 |
$0.00 |
| 0509F |
|
13 |
13 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 86592 |
|
84 |
81 |
$0.00 |
| 86803 |
|
38 |
38 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |