| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90670 |
|
260 |
259 |
$62K |
| 90674 |
|
1,381 |
1,370 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,371 |
3,873 |
$40K |
| G9920 |
Screening performed and negative |
1,337 |
1,318 |
$38K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
13 |
13 |
$11K |
| 90658 |
|
606 |
590 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
601 |
587 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
667 |
638 |
$8K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
170 |
148 |
$8K |
| 99407 |
|
1,956 |
1,802 |
$8K |
| 99385 |
|
258 |
252 |
$5K |
| 99401 |
|
2,604 |
2,372 |
$4K |
| 58300 |
|
25 |
25 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,911 |
2,745 |
$3K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
2,951 |
2,685 |
$3K |
| 90716 |
|
15 |
15 |
$2K |
| 90732 |
|
12 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
421 |
400 |
$500.00 |
| 99411 |
|
414 |
403 |
$338.13 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
24 |
24 |
$327.84 |
| 90715 |
|
101 |
100 |
$129.09 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,272 |
1,260 |
$109.03 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,247 |
2,216 |
$64.48 |
| 99386 |
|
13 |
13 |
$54.00 |
| 96160 |
|
1,374 |
1,355 |
$31.21 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
66 |
$4.46 |
| 3078F |
|
1,321 |
1,311 |
$0.00 |
| 99408 |
|
867 |
818 |
$0.00 |
| 90863 |
|
120 |
117 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
382 |
369 |
$0.00 |
| 1159F |
|
305 |
303 |
$0.00 |
| 1160F |
|
50 |
50 |
$0.00 |
| 3288F |
|
13 |
12 |
$0.00 |
| 1170F |
|
305 |
303 |
$0.00 |
| 4037F |
|
77 |
76 |
$0.00 |
| 3074F |
|
1,478 |
1,459 |
$0.00 |
| 1125F |
|
229 |
227 |
$0.00 |
| 1220F |
|
171 |
169 |
$0.00 |
| 3079F |
|
212 |
207 |
$0.00 |
| 3008F |
|
405 |
395 |
$0.00 |
| 3075F |
|
49 |
49 |
$0.00 |
| 97804 |
|
43 |
41 |
$0.00 |
| 96156 |
|
19 |
18 |
$0.00 |