| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,476 |
6,917 |
$405K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
146 |
127 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,577 |
1,428 |
$90K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
760 |
687 |
$84K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
744 |
744 |
$74K |
| 96156 |
|
1,708 |
1,677 |
$48K |
| 99215 |
Prolong outpt/office vis |
650 |
576 |
$31K |
| 96151 |
|
1,773 |
1,705 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
333 |
328 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
275 |
267 |
$19K |
| 92551 |
|
1,195 |
1,184 |
$15K |
| 99406 |
|
1,103 |
1,083 |
$15K |
| 97802 |
|
643 |
634 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
383 |
343 |
$12K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,109 |
1,089 |
$11K |
| 99385 |
|
78 |
63 |
$8K |
| G9920 |
Screening performed and negative |
640 |
622 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
121 |
120 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
95 |
$5K |
| 96150 |
|
314 |
295 |
$5K |
| 87110 |
|
173 |
167 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
29 |
$2K |
| 88150 |
|
55 |
55 |
$950.37 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$929.62 |
| 99173 |
|
300 |
296 |
$854.02 |
| 99401 |
|
136 |
136 |
$773.95 |
| 90674 |
|
27 |
27 |
$745.16 |
| 99386 |
|
12 |
12 |
$500.00 |
| 90658 |
|
28 |
28 |
$344.25 |
| 87850 |
|
52 |
51 |
$313.04 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
12 |
12 |
$228.37 |
| 90649 |
|
26 |
24 |
$216.00 |
| 90672 |
|
21 |
21 |
$214.00 |
| 87070 |
|
27 |
27 |
$212.67 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$193.51 |
| 90715 |
|
13 |
12 |
$182.40 |
| 3078F |
|
1,426 |
1,348 |
$96.72 |
| 3008F |
|
1,754 |
1,659 |
$59.00 |
| 1160F |
|
1,347 |
1,257 |
$2.51 |
| 1159F |
|
1,349 |
1,257 |
$2.50 |
| 1158F |
|
768 |
732 |
$0.92 |
| 3075F |
|
159 |
150 |
$0.72 |
| 3074F |
|
1,295 |
1,220 |
$0.22 |
| 3077F |
|
118 |
102 |
$0.00 |
| 1003F |
|
12 |
12 |
$0.00 |
| 1170F |
|
1,549 |
1,456 |
$0.00 |
| 3079F |
|
195 |
182 |
$0.00 |