| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,804 |
4,462 |
$401K |
| 76641 |
|
4,341 |
4,047 |
$327K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,977 |
1,881 |
$174K |
| 76536 |
|
1,240 |
1,172 |
$105K |
| 76830 |
Ultrasound, transvaginal |
1,088 |
1,016 |
$94K |
| 77066 |
Tomosynthesis, mammo |
605 |
571 |
$64K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
794 |
754 |
$63K |
| 72100 |
|
2,101 |
1,995 |
$59K |
| 71046 |
Radiologic examination, chest; 2 views |
2,299 |
2,177 |
$55K |
| 73560 |
|
1,781 |
1,255 |
$42K |
| 72040 |
|
1,549 |
1,460 |
$42K |
| 76770 |
|
559 |
498 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,746 |
10,835 |
$25K |
| 72070 |
|
945 |
893 |
$21K |
| 73030 |
|
775 |
617 |
$19K |
| 74018 |
|
633 |
598 |
$14K |
| 73620 |
|
529 |
382 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,993 |
3,819 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
348 |
329 |
$6K |
| 70220 |
|
187 |
173 |
$5K |
| 97012 |
|
704 |
124 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,508 |
2,765 |
$4K |
| 73120 |
|
106 |
73 |
$3K |
| 73130 |
|
97 |
62 |
$2K |
| 73600 |
|
48 |
42 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
548 |
414 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 99441 |
|
3,347 |
3,054 |
$997.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
216 |
158 |
$968.73 |
| 0012A |
|
17 |
16 |
$640.00 |
| 0003A |
|
13 |
13 |
$520.00 |
| 0011A |
|
12 |
12 |
$480.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
558 |
444 |
$270.00 |
| 77072 |
|
18 |
12 |
$248.25 |
| 90656 |
|
45 |
44 |
$207.72 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,285 |
958 |
$170.00 |
| 99442 |
|
752 |
700 |
$146.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
561 |
412 |
$105.84 |
| 96160 |
|
1,017 |
913 |
$62.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
521 |
510 |
$46.97 |
| 86580 |
|
268 |
233 |
$20.34 |
| 90473 |
|
147 |
55 |
$12.13 |
| 96127 |
|
829 |
808 |
$3.90 |
| 91301 |
|
48 |
34 |
$0.05 |
| 3074F |
|
4,451 |
3,462 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,427 |
2,281 |
$0.00 |
| 99050 |
|
339 |
242 |
$0.00 |
| 3044F |
|
302 |
193 |
$0.00 |
| 3008F |
|
1,901 |
1,545 |
$0.00 |
| 3075F |
|
741 |
571 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
895 |
797 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
45 |
44 |
$0.00 |
| 1126F |
|
716 |
418 |
$0.00 |
| 99368 |
|
293 |
288 |
$0.00 |
| 3080F |
|
78 |
74 |
$0.00 |
| 1111F |
|
224 |
193 |
$0.00 |
| 1170F |
|
722 |
446 |
$0.00 |
| 1125F |
|
122 |
98 |
$0.00 |
| 3079F |
|
877 |
648 |
$0.00 |
| 3014F |
|
134 |
108 |
$0.00 |
| 3017F |
|
117 |
82 |
$0.00 |
| 93000 |
|
54 |
54 |
$0.00 |
| 99384 |
|
22 |
19 |
$0.00 |
| 3048F |
|
76 |
43 |
$0.00 |
| 3049F |
|
26 |
13 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 3060F |
|
14 |
14 |
$0.00 |
| 3077F |
|
1,033 |
777 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
42 |
42 |
$0.00 |
| 3078F |
|
5,964 |
4,688 |
$0.00 |
| 1160F |
|
913 |
782 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
594 |
592 |
$0.00 |
| 99397 |
|
368 |
270 |
$0.00 |
| 99408 |
|
218 |
189 |
$0.00 |
| 99367 |
|
281 |
278 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,111 |
3,044 |
$0.00 |
| 91300 |
|
35 |
32 |
$0.00 |
| 1159F |
|
937 |
804 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
170 |
97 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
381 |
278 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$0.00 |
| 99347 |
|
15 |
15 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
15 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$0.00 |