| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
3,101 |
3,089 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,545 |
11,942 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,285 |
1,031 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,239 |
14,281 |
$6K |
| G9920 |
Screening performed and negative |
6,331 |
6,179 |
$3K |
| 0013A |
|
49 |
49 |
$2K |
| 0011A |
|
99 |
99 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
54 |
53 |
$1K |
| 97802 |
|
7,412 |
6,889 |
$1K |
| 99496 |
|
918 |
791 |
$1K |
| 0012A |
|
56 |
56 |
$1K |
| 87650 |
|
37 |
35 |
$653.05 |
| 88150 |
|
53 |
53 |
$630.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
7,892 |
7,709 |
$431.24 |
| 99383 |
|
21 |
13 |
$393.84 |
| 90686 |
|
78 |
70 |
$341.14 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
6,005 |
5,408 |
$305.06 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
191 |
$230.82 |
| 97803 |
|
2,473 |
2,366 |
$200.33 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,006 |
5,335 |
$194.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
471 |
469 |
$172.85 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
573 |
489 |
$126.28 |
| 99495 |
|
67 |
67 |
$120.00 |
| 90633 |
|
25 |
25 |
$117.00 |
| 99385 |
|
123 |
93 |
$81.34 |
| 90734 |
|
38 |
37 |
$72.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,214 |
6,105 |
$63.02 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,774 |
1,757 |
$56.11 |
| G9919 |
Screening performed and positive and provision of recommendations |
34 |
34 |
$43.50 |
| 90688 |
|
38 |
38 |
$39.92 |
| 82947 |
|
2,239 |
2,120 |
$39.69 |
| 90651 |
|
42 |
42 |
$36.00 |
| 99408 |
|
6,281 |
5,930 |
$31.24 |
| 99406 |
|
120 |
108 |
$23.44 |
| 96127 |
|
2,150 |
2,113 |
$18.66 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
593 |
577 |
$18.00 |
| 96160 |
|
4,023 |
3,897 |
$14.86 |
| 94760 |
|
1,097 |
1,057 |
$14.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,254 |
1,217 |
$13.30 |
| 93000 |
|
16 |
15 |
$12.91 |
| 83655 |
|
360 |
359 |
$10.52 |
| G0008 |
Administration of influenza virus vaccine |
187 |
186 |
$10.00 |
| 81003 |
|
1,283 |
1,278 |
$9.70 |
| 85018 |
|
2,602 |
2,570 |
$6.15 |
| 81002 |
|
1,527 |
1,511 |
$4.28 |
| 82948 |
|
674 |
648 |
$2.68 |
| 98960 |
|
14,488 |
13,021 |
$0.06 |
| 99188 |
|
158 |
157 |
$0.01 |
| 1126F |
|
13,260 |
12,238 |
$0.01 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
264 |
224 |
$0.00 |
| 3078F |
|
12,051 |
11,293 |
$0.00 |
| 2014F |
|
7,630 |
7,498 |
$0.00 |
| 1159F |
|
17,743 |
16,114 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
67 |
$0.00 |
| 1160F |
|
17,654 |
16,029 |
$0.00 |
| 90670 |
|
167 |
159 |
$0.00 |
| G9365 |
One high-risk medication ordered |
1,507 |
1,464 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
137 |
97 |
$0.00 |
| 3077F |
|
1,576 |
1,461 |
$0.00 |
| 3050F |
|
789 |
709 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
100 |
95 |
$0.00 |
| 3051F |
|
120 |
114 |
$0.00 |
| 4004F |
|
25 |
24 |
$0.00 |
| 82274 |
|
21 |
21 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 3046F |
|
77 |
74 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
16 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
54 |
53 |
$0.00 |
| 1158F |
|
44 |
43 |
$0.00 |
| 99173 |
|
64 |
64 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
64 |
63 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
68 |
68 |
$0.00 |
| 92557 |
|
17 |
17 |
$0.00 |
| 3045F |
|
13 |
13 |
$0.00 |
| 2028F |
|
15 |
15 |
$0.00 |
| 3049F |
|
1,506 |
1,385 |
$0.00 |
| 3074F |
|
11,872 |
11,142 |
$0.00 |
| 3008F |
|
24,824 |
21,910 |
$0.00 |
| 3079F |
|
4,366 |
4,181 |
$0.00 |
| 3048F |
|
3,418 |
3,223 |
$0.00 |
| 1220F |
|
6,883 |
6,753 |
$0.00 |
| 3075F |
|
3,619 |
3,465 |
$0.00 |
| 3044F |
|
4,616 |
4,498 |
$0.00 |
| 1125F |
|
3,447 |
3,269 |
$0.00 |
| 1036F |
|
3,201 |
3,177 |
$0.00 |
| 1111F |
|
1,228 |
1,119 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
5,776 |
5,673 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
165 |
158 |
$0.00 |
| 3080F |
|
498 |
471 |
$0.00 |
| 3017F |
|
337 |
329 |
$0.00 |
| 99172 |
|
2,890 |
2,878 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
343 |
334 |
$0.00 |
| 3014F |
|
372 |
362 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,747 |
1,694 |
$0.00 |
| 90680 |
|
46 |
41 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
102 |
101 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
326 |
321 |
$0.00 |
| 82044 |
|
12 |
12 |
$0.00 |
| 3052F |
|
251 |
224 |
$0.00 |
| 90698 |
|
60 |
54 |
$0.00 |
| G9367 |
At least two orders for high-risk medications from the same drug class |
1,549 |
1,507 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
66 |
$0.00 |
| 88141 |
|
126 |
124 |
$0.00 |
| 99386 |
|
24 |
24 |
$0.00 |
| 4010F |
|
15 |
15 |
$0.00 |
| 99000 |
|
53 |
53 |
$0.00 |
| 81000 |
|
137 |
136 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
17 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
54 |
54 |
$0.00 |
| M1003 |
Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy |
13 |
13 |
$0.00 |