| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,831 |
4,560 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,727 |
1,725 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,453 |
1,451 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,987 |
2,836 |
$11K |
| 97802 |
|
7,017 |
6,723 |
$9K |
| 96156 |
|
1,070 |
1,069 |
$7K |
| 92552 |
|
4,336 |
4,336 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
454 |
448 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,658 |
4,495 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
418 |
416 |
$3K |
| 90686 |
|
1,758 |
1,751 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
41 |
$2K |
| 90734 |
|
451 |
450 |
$2K |
| 90649 |
|
555 |
555 |
$1K |
| 85018 |
|
4,856 |
4,780 |
$1K |
| 99384 |
|
28 |
28 |
$888.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,400 |
1,370 |
$821.03 |
| 99385 |
|
52 |
52 |
$704.93 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,565 |
1,562 |
$703.27 |
| 90681 |
|
12 |
12 |
$654.80 |
| 86580 |
|
858 |
857 |
$620.99 |
| G9920 |
Screening performed and negative |
150 |
150 |
$616.25 |
| 99000 |
|
2,205 |
2,096 |
$581.69 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$430.84 |
| 99173 |
|
4,835 |
4,831 |
$379.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
32 |
$355.62 |
| 1220F |
|
1,259 |
1,256 |
$310.37 |
| 99383 |
|
31 |
31 |
$262.56 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
148 |
147 |
$257.61 |
| 99215 |
Prolong outpt/office vis |
57 |
57 |
$257.40 |
| 90715 |
|
124 |
124 |
$234.27 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
246 |
246 |
$225.53 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,914 |
1,745 |
$214.83 |
| 99080 |
|
258 |
251 |
$180.00 |
| 3074F |
|
5,199 |
4,898 |
$178.90 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
221 |
218 |
$119.50 |
| 90670 |
|
26 |
26 |
$117.00 |
| 1159F |
|
3,254 |
3,026 |
$116.90 |
| 1160F |
|
3,259 |
3,032 |
$99.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,555 |
1,540 |
$87.18 |
| 90647 |
|
12 |
12 |
$81.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
888 |
849 |
$78.41 |
| 90716 |
|
49 |
49 |
$76.50 |
| 90707 |
|
41 |
41 |
$72.00 |
| 3044F |
|
117 |
115 |
$67.96 |
| 92551 |
|
397 |
397 |
$66.12 |
| 90655 |
|
152 |
149 |
$63.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
673 |
633 |
$61.60 |
| 36415 |
Collection of venous blood by venipuncture |
1,964 |
1,898 |
$60.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
90 |
$59.05 |
| 90723 |
|
12 |
12 |
$45.00 |
| 90648 |
|
12 |
12 |
$36.00 |
| 90633 |
|
12 |
12 |
$27.00 |
| 1126F |
|
2,576 |
2,468 |
$24.00 |
| 99442 |
|
111 |
103 |
$10.00 |
| 83655 |
|
25 |
25 |
$5.27 |
| 36416 |
|
654 |
651 |
$3.36 |
| 1170F |
|
447 |
426 |
$0.00 |
| 1125F |
|
1,293 |
1,232 |
$0.00 |
| 4037F |
|
549 |
529 |
$0.00 |
| 1157F |
|
108 |
105 |
$0.00 |
| 3079F |
|
881 |
857 |
$0.00 |
| 2016F |
|
105 |
101 |
$0.00 |
| 3080F |
|
132 |
127 |
$0.00 |
| 1130F |
|
68 |
68 |
$0.00 |
| 3075F |
|
87 |
86 |
$0.00 |
| 99447 |
|
86 |
82 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 3078F |
|
4,482 |
4,259 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
123 |
123 |
$0.00 |
| 1158F |
|
165 |
165 |
$0.00 |
| 96160 |
|
714 |
714 |
$0.00 |
| 99448 |
|
14 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
108 |
108 |
$0.00 |
| 3077F |
|
111 |
107 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
56 |
55 |
$0.00 |