| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
4,535 |
2,817 |
$254K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,191 |
2,921 |
$236K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,596 |
21,164 |
$118K |
| J3490 |
Unclassified drugs |
1,219 |
1,053 |
$81K |
| Z1032 |
|
504 |
504 |
$80K |
| Z6500 |
|
510 |
510 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,812 |
2,799 |
$47K |
| 90651 |
|
1,558 |
1,520 |
$38K |
| Z6410 |
|
2,057 |
1,167 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,739 |
1,729 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,267 |
1,175 |
$30K |
| Z6406 |
|
1,907 |
1,530 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
142 |
139 |
$26K |
| 90686 |
|
3,597 |
3,536 |
$24K |
| 92551 |
|
4,874 |
4,865 |
$24K |
| Z6400 |
|
1,523 |
1,377 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,167 |
1,160 |
$23K |
| 90715 |
|
1,591 |
1,483 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
307 |
298 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
148 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
436 |
397 |
$16K |
| 92552 |
|
1,212 |
1,207 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,525 |
788 |
$13K |
| 81025 |
|
4,178 |
4,105 |
$12K |
| 99381 |
|
111 |
111 |
$10K |
| 99000 |
|
2,802 |
2,595 |
$9K |
| 99201 |
|
138 |
121 |
$8K |
| 76813 |
|
61 |
51 |
$6K |
| 99383 |
|
76 |
76 |
$6K |
| 90648 |
|
853 |
846 |
$6K |
| 99384 |
|
49 |
49 |
$6K |
| 90716 |
|
758 |
753 |
$5K |
| Z6202 |
|
389 |
387 |
$5K |
| Z6404 |
|
391 |
389 |
$5K |
| 90670 |
|
698 |
690 |
$5K |
| 90633 |
|
616 |
606 |
$4K |
| 85018 |
|
6,943 |
6,839 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,436 |
1,425 |
$4K |
| 90723 |
|
548 |
543 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,953 |
4,822 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
268 |
268 |
$3K |
| 90707 |
|
491 |
487 |
$3K |
| Z6302 |
|
389 |
387 |
$3K |
| 90680 |
|
322 |
315 |
$2K |
| 90734 |
|
442 |
440 |
$2K |
| Z6308 |
|
133 |
125 |
$1K |
| 90688 |
|
130 |
127 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,529 |
4,525 |
$1K |
| 83026 |
|
468 |
465 |
$1K |
| 86580 |
|
296 |
288 |
$1K |
| 81002 |
|
5,425 |
5,339 |
$1K |
| 99173 |
|
373 |
371 |
$937.32 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
841 |
835 |
$820.00 |
| 90619 |
|
171 |
171 |
$760.00 |
| 81000 |
|
393 |
392 |
$738.90 |
| 90756 |
|
40 |
40 |
$654.54 |
| 90744 |
|
72 |
72 |
$642.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
40 |
40 |
$640.00 |
| 90696 |
|
58 |
57 |
$404.00 |
| 90713 |
|
49 |
49 |
$379.00 |
| 90671 |
|
79 |
79 |
$342.00 |
| 90621 |
|
95 |
95 |
$321.00 |
| 99385 |
|
189 |
189 |
$284.10 |
| Z6204 |
|
17 |
14 |
$258.89 |
| Z6414 |
|
14 |
13 |
$183.19 |
| 90620 |
|
52 |
52 |
$154.00 |
| 99386 |
|
159 |
159 |
$133.98 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$90.00 |
| 0072A |
|
18 |
18 |
$70.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,255 |
3,251 |
$43.14 |
| 3008F |
|
3,593 |
3,584 |
$42.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,721 |
3,717 |
$20.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,398 |
4,394 |
$18.33 |
| 3080F |
|
190 |
188 |
$0.00 |
| 3079F |
|
809 |
805 |
$0.00 |
| 3074F |
|
2,738 |
2,731 |
$0.00 |
| 3075F |
|
288 |
288 |
$0.00 |
| 91307 |
|
58 |
55 |
$0.00 |
| 3061F |
|
15 |
15 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
4,383 |
4,379 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
554 |
554 |
$0.00 |
| 92081 |
|
722 |
721 |
$0.00 |
| 3078F |
|
2,450 |
2,439 |
$0.00 |
| 3077F |
|
436 |
430 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
61 |
61 |
$0.00 |
| 0071A |
|
14 |
14 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |
| 90658 |
|
17 |
17 |
$0.00 |