| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,461 |
17,409 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,060 |
9,769 |
$22K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
5,114 |
4,881 |
$20K |
| 97803 |
|
2,396 |
2,357 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,955 |
1,949 |
$17K |
| 99385 |
|
1,674 |
1,667 |
$13K |
| 93000 |
|
609 |
600 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,423 |
1,417 |
$8K |
| 90686 |
|
508 |
491 |
$8K |
| 92551 |
|
731 |
727 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,933 |
2,915 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18,098 |
17,015 |
$5K |
| 99496 |
|
1,553 |
1,517 |
$4K |
| 96125 |
|
75 |
75 |
$3K |
| G9920 |
Screening performed and negative |
880 |
877 |
$3K |
| 99497 |
|
75 |
75 |
$3K |
| 99495 |
|
1,084 |
1,075 |
$2K |
| 99401 |
|
7,620 |
7,397 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,949 |
1,892 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,409 |
2,399 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
627 |
621 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
269 |
269 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
744 |
738 |
$950.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
966 |
944 |
$713.05 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
467 |
465 |
$629.82 |
| 99406 |
|
1,307 |
1,271 |
$550.74 |
| 99215 |
Prolong outpt/office vis |
355 |
351 |
$499.80 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
24 |
24 |
$445.80 |
| 93784 |
|
17 |
17 |
$383.36 |
| 57410 |
|
48 |
48 |
$371.20 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
350 |
348 |
$348.60 |
| 88142 |
|
769 |
759 |
$343.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
232 |
227 |
$249.48 |
| G9919 |
Screening performed and positive and provision of recommendations |
123 |
122 |
$188.71 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
28 |
$146.38 |
| 81000 |
|
1,313 |
1,295 |
$124.95 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
102 |
100 |
$111.06 |
| 3075F |
|
2,610 |
2,532 |
$68.21 |
| 99490 |
Ccm add 20min |
65 |
65 |
$44.66 |
| 81002 |
|
1,009 |
999 |
$29.09 |
| 81025 |
|
572 |
558 |
$24.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$23.04 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
173 |
169 |
$16.00 |
| 99000 |
|
51 |
51 |
$7.18 |
| 81005 |
|
106 |
106 |
$7.00 |
| 99422 |
|
12 |
12 |
$5.62 |
| 82272 |
|
29 |
29 |
$5.06 |
| 81003 |
|
39 |
39 |
$3.88 |
| 98967 |
|
308 |
294 |
$3.40 |
| 82948 |
|
88 |
88 |
$2.68 |
| 1160F |
|
4,705 |
4,460 |
$0.30 |
| 1159F |
|
4,693 |
4,450 |
$0.30 |
| 99386 |
|
550 |
544 |
$0.00 |
| 3080F |
|
1,141 |
1,105 |
$0.00 |
| 3079F |
|
3,474 |
3,372 |
$0.00 |
| 3008F |
|
17,899 |
16,416 |
$0.00 |
| 3351F |
|
790 |
765 |
$0.00 |
| 1111F |
|
3,063 |
2,942 |
$0.00 |
| 3074F |
|
12,996 |
12,497 |
$0.00 |
| 0545F |
|
1,703 |
1,670 |
$0.00 |
| 3352F |
|
55 |
55 |
$0.00 |
| 3353F |
|
13 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
95 |
$0.00 |
| 81001 |
|
38 |
37 |
$0.00 |
| 99243 |
|
14 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
74 |
72 |
$0.00 |
| 82043 |
|
14 |
14 |
$0.00 |
| 1220F |
|
184 |
176 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
50 |
50 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
80 |
78 |
$0.00 |
| 82607 |
|
48 |
48 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
23 |
22 |
$0.00 |
| 1170F |
|
21 |
21 |
$0.00 |
| 1125F |
|
20 |
20 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
57 |
57 |
$0.00 |
| 3078F |
|
13,261 |
12,742 |
$0.00 |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
279 |
268 |
$0.00 |
| 3077F |
|
2,209 |
2,124 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
38 |
38 |
$0.00 |
| 4035F |
|
268 |
265 |
$0.00 |
| 99173 |
|
413 |
410 |
$0.00 |
| 0518F |
|
20 |
20 |
$0.00 |
| 1158F |
|
17 |
17 |
$0.00 |
| 80061 |
Lipid panel |
54 |
54 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
31 |
$0.00 |
| 1090F |
|
20 |
20 |
$0.00 |
| 3288F |
|
15 |
15 |
$0.00 |
| 0521F |
|
34 |
34 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |