| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,912 |
5,884 |
$448K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,311 |
3,684 |
$394K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
979 |
819 |
$166K |
| 96156 |
|
2,943 |
2,907 |
$131K |
| 99215 |
Prolong outpt/office vis |
1,245 |
1,232 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
758 |
743 |
$77K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
570 |
570 |
$40K |
| 99497 |
|
619 |
599 |
$28K |
| 99205 |
Prolong outpt/office vis |
312 |
305 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
313 |
310 |
$26K |
| 96151 |
|
608 |
605 |
$17K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,640 |
1,617 |
$15K |
| 99385 |
|
182 |
182 |
$14K |
| 96127 |
|
2,815 |
2,778 |
$13K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
501 |
489 |
$11K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
617 |
617 |
$8K |
| 96150 |
|
299 |
299 |
$7K |
| 88150 |
|
399 |
397 |
$6K |
| 92551 |
|
458 |
457 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
87 |
87 |
$6K |
| 90686 |
|
478 |
476 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
45 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
162 |
160 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$990.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
140 |
$844.55 |
| 80061 |
Lipid panel |
64 |
64 |
$597.70 |
| 85018 |
|
187 |
187 |
$436.80 |
| 81002 |
|
127 |
127 |
$381.23 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
32 |
32 |
$350.00 |
| 98960 |
|
25 |
25 |
$320.00 |
| 87110 |
|
18 |
18 |
$275.32 |
| 99401 |
|
44 |
44 |
$207.68 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
25 |
25 |
$141.12 |
| 81025 |
|
42 |
42 |
$116.48 |
| 99173 |
|
30 |
30 |
$115.04 |
| 86580 |
|
26 |
26 |
$112.58 |
| 2000F |
|
543 |
542 |
$109.00 |
| 81000 |
|
16 |
16 |
$105.83 |
| 90651 |
|
13 |
13 |
$97.00 |
| 3008F |
|
547 |
546 |
$50.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
1,649 |
1,612 |
$50.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
488 |
476 |
$0.00 |
| 1030F |
|
243 |
242 |
$0.00 |
| 3014F |
|
203 |
203 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 3044F |
|
42 |
42 |
$0.00 |
| 3017F |
|
17 |
17 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
870 |
848 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
346 |
336 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
18 |
18 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |