| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,189 |
29,913 |
$1.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,604 |
3,975 |
$265K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,462 |
1,387 |
$110K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,297 |
2,164 |
$31K |
| 99385 |
|
297 |
291 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
286 |
262 |
$24K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
179 |
174 |
$17K |
| 99386 |
|
124 |
123 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
168 |
154 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
442 |
396 |
$12K |
| 3074F |
|
8,912 |
7,870 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,551 |
1,407 |
$9K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
231 |
207 |
$9K |
| 99401 |
|
348 |
316 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
230 |
206 |
$8K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
133 |
124 |
$6K |
| 96160 |
|
1,673 |
1,584 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
316 |
290 |
$4K |
| 99070 |
|
500 |
448 |
$2K |
| A4550 |
Surgical trays |
108 |
104 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
185 |
168 |
$2K |
| 93000 |
|
122 |
117 |
$1K |
| 3075F |
|
1,231 |
1,144 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
237 |
110 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
29 |
28 |
$748.59 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
41 |
40 |
$604.06 |
| 81002 |
|
442 |
409 |
$591.49 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$511.63 |
| 99442 |
|
37 |
36 |
$427.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
37 |
$356.92 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
16 |
$314.44 |
| 3077F |
|
706 |
647 |
$300.00 |
| 90674 |
|
48 |
43 |
$167.55 |
| 3079F |
|
3,960 |
3,629 |
$75.00 |
| 99441 |
|
22 |
17 |
$45.99 |
| 99000 |
|
982 |
905 |
$25.85 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
12 |
$16.24 |
| 99406 |
|
17 |
16 |
$11.21 |
| G0008 |
Administration of influenza virus vaccine |
35 |
33 |
$8.18 |
| 3078F |
|
5,975 |
5,303 |
$0.00 |
| 99421 |
|
44 |
44 |
$0.00 |
| 3080F |
|
772 |
722 |
$0.00 |
| 97802 |
|
46 |
43 |
$0.00 |