| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,314 |
1,176 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,867 |
1,653 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,080 |
11,233 |
$13K |
| 3078F |
|
4,272 |
4,063 |
$6K |
| 3074F |
|
3,641 |
3,518 |
$5K |
| 3008F |
|
3,589 |
3,527 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
427 |
426 |
$3K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,119 |
1,119 |
$3K |
| 3079F |
|
1,136 |
1,092 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
931 |
930 |
$2K |
| 3077F |
|
1,823 |
1,701 |
$2K |
| 3075F |
|
805 |
774 |
$2K |
| 99385 |
|
190 |
190 |
$1K |
| 1170F |
|
2,854 |
2,853 |
$1K |
| 1160F |
|
5,808 |
5,575 |
$1K |
| 3288F |
|
2,732 |
2,731 |
$1K |
| 0521F |
|
1,184 |
1,183 |
$1K |
| 0545F |
|
1,178 |
1,177 |
$1K |
| 1101F |
|
2,343 |
2,342 |
$1K |
| 1126F |
|
1,700 |
1,699 |
$1K |
| 4005F |
|
1,184 |
1,183 |
$1K |
| 3080F |
|
555 |
515 |
$1K |
| 99000 |
|
261 |
260 |
$936.15 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
281 |
239 |
$880.00 |
| 3352F |
|
1,461 |
1,460 |
$845.00 |
| 36410 |
|
1,371 |
1,305 |
$550.19 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
60 |
60 |
$421.24 |
| 96150 |
|
348 |
348 |
$357.36 |
| 96151 |
|
429 |
428 |
$310.86 |
| 3353F |
|
453 |
453 |
$240.00 |
| 90674 |
|
58 |
58 |
$238.44 |
| 3044F |
|
30 |
28 |
$175.00 |
| 1125F |
|
481 |
480 |
$100.00 |
| 3045F |
|
15 |
12 |
$90.00 |
| 99386 |
|
25 |
25 |
$85.00 |
| 1159F |
|
2,584 |
2,517 |
$50.00 |
| 1036F |
|
229 |
218 |
$0.00 |
| 2010F |
|
4,223 |
3,924 |
$0.00 |
| 1220F |
|
1,341 |
1,341 |
$0.00 |
| 3011F |
|
555 |
550 |
$0.00 |
| 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) |
1,073 |
1,073 |
$0.00 |
| 96156 |
|
1,492 |
1,492 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
60 |
60 |
$0.00 |
| 1158F |
|
1,299 |
1,299 |
$0.00 |
| 1124F |
|
1,291 |
1,290 |
$0.00 |
| 96158 |
|
49 |
49 |
$0.00 |
| 99442 |
|
186 |
174 |
$0.00 |
| 96159 |
|
110 |
110 |
$0.00 |
| 4013F |
|
122 |
111 |
$0.00 |
| 99497 |
|
64 |
64 |
$0.00 |
| 1128F |
|
30 |
30 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$0.00 |
| 3015F |
|
29 |
26 |
$0.00 |