| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,941 |
14,054 |
$400K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,196 |
4,557 |
$291K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
846 |
740 |
$200K |
| J3490 |
Unclassified drugs |
924 |
788 |
$63K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
114 |
82 |
$17K |
| 81025 |
|
3,559 |
3,480 |
$10K |
| 99000 |
|
6,820 |
6,635 |
$9K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
651 |
651 |
$8K |
| 99383 |
|
34 |
17 |
$3K |
| 92551 |
|
1,699 |
1,697 |
$2K |
| 99173 |
|
1,792 |
1,787 |
$2K |
| 3078F |
|
4,242 |
3,928 |
$1K |
| 3008F |
|
5,012 |
4,615 |
$1K |
| 90686 |
|
216 |
215 |
$1K |
| 3074F |
|
3,985 |
3,696 |
$1K |
| 81002 |
|
3,670 |
3,583 |
$979.17 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
508 |
508 |
$964.38 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
190 |
190 |
$789.24 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
871 |
849 |
$763.60 |
| 96160 |
|
2,363 |
2,357 |
$656.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
192 |
$594.17 |
| 1159F |
|
1,177 |
1,134 |
$576.00 |
| 1160F |
|
1,181 |
1,138 |
$536.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
382 |
381 |
$534.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
389 |
358 |
$446.17 |
| 93000 |
|
185 |
184 |
$432.57 |
| 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 |
539 |
472 |
$357.81 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
211 |
210 |
$276.00 |
| 90461 |
|
144 |
144 |
$260.00 |
| 99442 |
|
1,313 |
1,218 |
$259.05 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,492 |
1,485 |
$257.84 |
| 1157F |
|
1,070 |
1,067 |
$240.00 |
| 1158F |
|
1,286 |
1,281 |
$240.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
27 |
$240.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
183 |
182 |
$235.00 |
| 90688 |
|
14 |
14 |
$231.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,456 |
1,449 |
$207.59 |
| 90734 |
|
42 |
42 |
$192.00 |
| 90651 |
|
40 |
40 |
$164.00 |
| 3725F |
|
1,537 |
1,532 |
$152.00 |
| 90674 |
|
29 |
29 |
$128.00 |
| 90715 |
|
13 |
13 |
$74.00 |
| 99441 |
|
1,208 |
1,078 |
$61.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
61 |
$22.96 |
| 82948 |
|
432 |
385 |
$10.75 |
| 81000 |
|
153 |
149 |
$10.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
26 |
$10.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$10.00 |
| 3075F |
|
420 |
407 |
$0.00 |
| 3079F |
|
237 |
230 |
$0.00 |
| 88738 |
|
131 |
131 |
$0.00 |
| 82962 |
|
58 |
57 |
$0.00 |
| 3066F |
|
92 |
91 |
$0.00 |
| 86701 |
|
43 |
43 |
$0.00 |
| 92561 |
|
37 |
37 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
45 |
45 |
$0.00 |
| 1126F |
|
67 |
67 |
$0.00 |
| 3048F |
|
40 |
39 |
$0.00 |
| 1125F |
|
27 |
27 |
$0.00 |
| 3044F |
|
152 |
149 |
$0.00 |
| 86592 |
|
43 |
43 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
34 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
44 |
44 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
527 |
524 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
25 |
25 |
$0.00 |
| 4004F |
|
350 |
349 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
42 |
42 |
$0.00 |
| 82042 |
|
26 |
26 |
$0.00 |
| 1003F |
|
67 |
67 |
$0.00 |
| 3077F |
|
47 |
46 |
$0.00 |
| 80061 |
Lipid panel |
122 |
120 |
$0.00 |
| 99411 |
|
39 |
39 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| 98966 |
|
16 |
16 |
$0.00 |