| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97802 |
|
3,104 |
2,601 |
$79K |
| 97803 |
|
3,055 |
2,640 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
259,341 |
201,507 |
$54K |
| 96160 |
|
38,069 |
32,354 |
$16K |
| 99441 |
|
44,451 |
36,500 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97,855 |
72,601 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
891 |
450 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,353 |
6,657 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,244 |
2,786 |
$4K |
| 0012A |
|
158 |
128 |
$4K |
| 0011A |
|
155 |
133 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
228 |
113 |
$3K |
| 99442 |
|
10,277 |
8,544 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35,522 |
26,162 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,097 |
949 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
51 |
49 |
$951.00 |
| 90791 |
Psychiatric diagnostic evaluation |
558 |
542 |
$748.26 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,817 |
3,978 |
$694.87 |
| 3008F |
|
228,938 |
176,476 |
$662.01 |
| 1159F |
|
223,360 |
169,782 |
$630.04 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,315 |
5,257 |
$602.88 |
| 2001F |
|
187,897 |
145,362 |
$600.07 |
| 3074F |
|
149,052 |
117,854 |
$600.00 |
| 1160F |
|
224,870 |
169,252 |
$570.05 |
| 2000F |
|
161,245 |
126,753 |
$570.02 |
| 3078F |
|
153,400 |
120,736 |
$570.00 |
| 2010F |
|
192,059 |
147,367 |
$510.01 |
| 96127 |
|
7,208 |
5,841 |
$502.02 |
| 3028F |
|
151,818 |
117,217 |
$390.01 |
| 1126F |
|
126,229 |
99,123 |
$390.00 |
| 0521F |
|
61,061 |
48,104 |
$390.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,411 |
1,269 |
$321.34 |
| 99254 |
|
100 |
29 |
$280.00 |
| 1170F |
|
46,445 |
36,723 |
$270.01 |
| 1000F |
|
72,859 |
55,740 |
$240.01 |
| 1036F |
|
71,307 |
54,716 |
$240.01 |
| 1158F |
|
31,388 |
26,832 |
$240.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,537 |
2,169 |
$212.40 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,022 |
3,273 |
$195.83 |
| 90837 |
Psychotherapy, 53 minutes with patient |
12 |
12 |
$173.50 |
| 99215 |
Prolong outpt/office vis |
79 |
75 |
$137.70 |
| 90651 |
|
24 |
14 |
$96.00 |
| 1157F |
|
13,739 |
11,487 |
$90.01 |
| 3011F |
|
24,969 |
20,801 |
$90.00 |
| 1125F |
|
37,264 |
30,750 |
$90.00 |
| 4010F |
|
18,457 |
13,866 |
$60.02 |
| 3079F |
|
28,479 |
23,219 |
$60.01 |
| 3048F |
|
11,045 |
9,452 |
$60.00 |
| 90686 |
|
13 |
13 |
$52.00 |
| 3075F |
|
16,127 |
13,096 |
$30.01 |
| 3017F |
|
4,276 |
3,906 |
$30.00 |
| 3049F |
|
5,326 |
4,653 |
$30.00 |
| 3044F |
|
11,794 |
9,868 |
$30.00 |
| 99348 |
|
565 |
545 |
$25.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
431 |
371 |
$23.69 |
| 99401 |
|
5,266 |
3,272 |
$20.54 |
| 99406 |
|
71 |
69 |
$12.50 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, 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; 5-10 minutes of medical discussion |
311 |
285 |
$10.38 |
| 1220F |
|
3,274 |
3,070 |
$0.00 |
| 81001 |
|
42 |
40 |
$0.00 |
| 1030F |
|
3,802 |
2,909 |
$0.00 |
| 3080F |
|
3,635 |
3,171 |
$0.00 |
| 3014F |
|
1,939 |
1,579 |
$0.00 |
| 3061F |
|
8,828 |
7,681 |
$0.00 |
| 1034F |
|
258 |
197 |
$0.00 |
| 1111F |
|
719 |
657 |
$0.00 |
| 4015F |
|
178 |
115 |
$0.00 |
| 3060F |
|
267 |
256 |
$0.00 |
| 99349 |
|
410 |
401 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
64 |
$0.00 |
| 99368 |
|
586 |
569 |
$0.00 |
| 4017F |
|
560 |
271 |
$0.00 |
| 3052F |
|
74 |
59 |
$0.00 |
| 1101F |
|
349 |
324 |
$0.00 |
| 3037F |
|
654 |
627 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
172 |
171 |
$0.00 |
| 4016F |
|
73 |
71 |
$0.00 |
| 3066F |
|
178 |
111 |
$0.00 |
| 0012F |
|
86 |
84 |
$0.00 |
| 4086F |
|
57 |
18 |
$0.00 |
| 3072F |
|
185 |
165 |
$0.00 |
| 91301 |
|
335 |
226 |
$0.00 |
| 1123F |
|
80 |
74 |
$0.00 |
| 3268F |
|
32 |
24 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
158 |
155 |
$0.00 |
| 1035F |
|
14 |
13 |
$0.00 |
| 93000 |
|
19 |
14 |
$0.00 |
| 99422 |
|
224 |
109 |
$0.00 |
| 99384 |
|
47 |
47 |
$0.00 |
| 99443 |
|
128 |
95 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
14 |
12 |
$0.00 |
| 1022F |
|
12 |
12 |
$0.00 |
| 99383 |
|
40 |
40 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 93922 |
|
20 |
20 |
$0.00 |
| 99496 |
|
15 |
12 |
$0.00 |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
14 |
14 |
$0.00 |
| 4037F |
|
25 |
24 |
$0.00 |
| 3292F |
|
13 |
13 |
$0.00 |
| 3077F |
|
17,623 |
14,243 |
$0.00 |
| 2028F |
|
4,540 |
3,566 |
$0.00 |
| 3511F |
|
1,497 |
1,369 |
$0.00 |
| 4035F |
|
7,299 |
6,516 |
$0.00 |
| 0518F |
|
2,332 |
1,818 |
$0.00 |
| 4013F |
|
9,805 |
7,551 |
$0.00 |
| 1124F |
|
139 |
133 |
$0.00 |
| 3725F |
|
3,047 |
2,907 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
577 |
534 |
$0.00 |
| 3050F |
|
2,288 |
2,030 |
$0.00 |
| 1090F |
|
2,415 |
1,897 |
$0.00 |
| 80061 |
Lipid panel |
531 |
488 |
$0.00 |
| 2022F |
|
63 |
60 |
$0.00 |
| 5010F |
|
1,077 |
902 |
$0.00 |
| 99408 |
|
39 |
39 |
$0.00 |
| 1100F |
|
1,181 |
719 |
$0.00 |
| 3051F |
|
609 |
503 |
$0.00 |
| 1033F |
|
93 |
88 |
$0.00 |
| 4145F |
|
31 |
27 |
$0.00 |
| 99173 |
|
55 |
55 |
$0.00 |
| 3288F |
|
483 |
184 |
$0.00 |
| 3018F |
|
170 |
161 |
$0.00 |
| 3015F |
|
775 |
701 |
$0.00 |
| 2014F |
|
446 |
402 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
176 |
169 |
$0.00 |
| 3045F |
|
865 |
742 |
$0.00 |
| 99421 |
|
2,114 |
1,277 |
$0.00 |
| 3342F |
|
27 |
27 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
313 |
292 |
$0.00 |
| 99336 |
|
107 |
102 |
$0.00 |
| 98966 |
|
34 |
29 |
$0.00 |
| 99201 |
|
354 |
349 |
$0.00 |
| 3046F |
|
50 |
46 |
$0.00 |
| 4019F |
|
86 |
83 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
329 |
328 |
$0.00 |
| 3016F |
|
13 |
13 |
$0.00 |