| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,350 |
36,937 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,279 |
2,145 |
$27K |
| 99385 |
|
1,643 |
1,552 |
$6K |
| 99442 |
|
1,006 |
884 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,014 |
3,284 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,107 |
1,966 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,754 |
1,545 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,710 |
3,701 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,902 |
2,340 |
$2K |
| 99441 |
|
259 |
240 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
834 |
739 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,578 |
2,369 |
$2K |
| 99386 |
|
685 |
633 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,799 |
1,573 |
$2K |
| 3008F |
|
41,030 |
34,947 |
$806.74 |
| 3074F |
|
47,352 |
40,536 |
$574.56 |
| 90461 |
|
1,160 |
970 |
$490.00 |
| 1159F |
|
53,088 |
44,573 |
$388.94 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$385.21 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
230 |
213 |
$309.95 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
195 |
188 |
$275.07 |
| 36415 |
Collection of venous blood by venipuncture |
686 |
554 |
$267.00 |
| 3078F |
|
39,619 |
33,839 |
$249.43 |
| 1160F |
|
50,481 |
42,508 |
$139.38 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
169 |
$109.73 |
| 99421 |
|
1,646 |
1,511 |
$98.27 |
| 99422 |
|
1,642 |
1,472 |
$89.91 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
55 |
48 |
$80.40 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
529 |
518 |
$62.26 |
| 1126F |
|
15,003 |
12,931 |
$61.93 |
| 90688 |
|
303 |
226 |
$48.96 |
| 99499 |
|
2,494 |
2,136 |
$43.00 |
| 3079F |
|
12,425 |
10,995 |
$31.44 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
12 |
$25.00 |
| 98967 |
|
873 |
832 |
$18.74 |
| 99397 |
|
111 |
104 |
$11.13 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$10.02 |
| 94010 |
|
394 |
377 |
$9.26 |
| 3077F |
|
1,451 |
1,296 |
$8.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
61 |
$8.03 |
| 93000 |
|
678 |
667 |
$7.39 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,859 |
2,425 |
$6.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
3,070 |
2,558 |
$3.00 |
| 3080F |
|
808 |
729 |
$2.50 |
| 99071 |
|
21,900 |
18,293 |
$2.01 |
| 99387 |
|
27 |
25 |
$1.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
304 |
300 |
$1.04 |
| 3075F |
|
4,553 |
4,109 |
$1.00 |
| 92551 |
|
328 |
238 |
$0.38 |
| 99173 |
|
3,526 |
3,011 |
$0.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
252 |
236 |
$0.27 |
| 99383 |
|
177 |
164 |
$0.05 |
| 99384 |
|
95 |
83 |
$0.02 |
| 99382 |
|
40 |
40 |
$0.02 |
| 90670 |
|
624 |
578 |
$0.01 |
| 1157F |
|
104 |
103 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
289 |
248 |
$0.00 |
| 90674 |
|
1,396 |
1,097 |
$0.00 |
| 1125F |
|
1,077 |
953 |
$0.00 |
| 90686 |
|
2,006 |
1,744 |
$0.00 |
| 90698 |
|
42 |
42 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,923 |
1,605 |
$0.00 |
| 90651 |
|
761 |
675 |
$0.00 |
| 94760 |
|
5,415 |
4,193 |
$0.00 |
| 1220F |
|
1,786 |
1,631 |
$0.00 |
| 82962 |
|
47 |
35 |
$0.00 |
| 1170F |
|
742 |
690 |
$0.00 |
| 90680 |
|
104 |
95 |
$0.00 |
| 90620 |
|
134 |
132 |
$0.00 |
| 3044F |
|
190 |
184 |
$0.00 |
| 90716 |
|
35 |
25 |
$0.00 |
| 3048F |
|
70 |
70 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
252 |
236 |
$0.00 |
| 3061F |
|
15 |
13 |
$0.00 |
| 90656 |
|
73 |
73 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
14 |
$0.00 |
| 90619 |
|
63 |
60 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 3049F |
|
54 |
52 |
$0.00 |
| 90694 |
|
41 |
41 |
$0.00 |
| 90654 |
|
14 |
14 |
$0.00 |
| 3725F |
|
185 |
145 |
$0.00 |
| 90633 |
|
1,119 |
974 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
66 |
52 |
$0.00 |
| 90734 |
|
299 |
250 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
269 |
225 |
$0.00 |
| 90687 |
|
369 |
202 |
$0.00 |
| 98966 |
|
106 |
92 |
$0.00 |
| M1016 |
Female patients unable to bear children |
158 |
116 |
$0.00 |
| 90648 |
|
180 |
172 |
$0.00 |
| 1158F |
|
378 |
359 |
$0.00 |
| 90710 |
|
194 |
165 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
41 |
$0.00 |
| 99423 |
|
12 |
12 |
$0.00 |
| 90671 |
|
32 |
31 |
$0.00 |
| 96160 |
|
74 |
74 |
$0.00 |
| 90715 |
|
42 |
42 |
$0.00 |
| 90713 |
|
28 |
27 |
$0.00 |
| 85014 |
|
45 |
45 |
$0.00 |
| 3050F |
|
13 |
13 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |