| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,910 |
18,046 |
$1.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,617 |
17,270 |
$995K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,060 |
6,034 |
$576K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,740 |
3,721 |
$326K |
| 99442 |
|
2,655 |
2,482 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
842 |
841 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
507 |
505 |
$60K |
| 99385 |
|
424 |
424 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,388 |
3,342 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
895 |
841 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,806 |
3,388 |
$20K |
| 90686 |
|
1,179 |
1,167 |
$20K |
| 93000 |
|
1,843 |
1,827 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
146 |
$13K |
| 90715 |
|
362 |
358 |
$11K |
| 87428 |
|
351 |
344 |
$11K |
| 90674 |
|
334 |
332 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,778 |
2,719 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,246 |
1,239 |
$7K |
| 90750 |
|
40 |
40 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
349 |
341 |
$5K |
| 96160 |
|
2,586 |
2,575 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
249 |
247 |
$4K |
| 90661 |
|
145 |
144 |
$4K |
| 81003 |
|
2,215 |
2,169 |
$3K |
| 90677 |
|
14 |
14 |
$3K |
| 99386 |
|
26 |
26 |
$3K |
| 90656 |
|
146 |
144 |
$3K |
| 99441 |
|
164 |
153 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,120 |
1,956 |
$2K |
| 90662 |
|
214 |
209 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
70 |
68 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
127 |
126 |
$1K |
| 81002 |
|
645 |
600 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$817.43 |
| 96127 |
|
285 |
268 |
$731.72 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$725.23 |
| 90688 |
|
43 |
43 |
$691.62 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
197 |
193 |
$656.43 |
| 99497 |
|
53 |
49 |
$606.43 |
| 99443 |
|
49 |
47 |
$510.48 |
| G0008 |
Administration of influenza virus vaccine |
386 |
366 |
$208.32 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
561 |
556 |
$184.49 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
56 |
51 |
$175.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
139 |
130 |
$118.54 |
| 98966 |
|
724 |
665 |
$113.40 |
| 77080 |
|
12 |
12 |
$111.93 |
| 81025 |
|
14 |
14 |
$101.83 |
| 99000 |
|
227 |
222 |
$80.00 |
| 83037 |
|
12 |
12 |
$65.36 |
| 99406 |
|
14 |
14 |
$58.07 |
| 36416 |
|
878 |
854 |
$57.50 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
18 |
12 |
$18.24 |
| 3725F |
|
23,329 |
22,008 |
$9.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24,439 |
23,013 |
$2.96 |
| 99499 |
|
437 |
432 |
$0.77 |
| 3078F |
|
17,896 |
16,966 |
$0.15 |
| 1160F |
|
20,674 |
19,072 |
$0.01 |
| 3288F |
|
1,734 |
1,518 |
$0.01 |
| 1159F |
|
19,234 |
17,743 |
$0.01 |
| 3079F |
|
6,932 |
6,675 |
$0.01 |
| 3008F |
|
23,387 |
21,721 |
$0.01 |
| 1101F |
|
601 |
585 |
$0.01 |
| 3075F |
|
3,956 |
3,821 |
$0.01 |
| 3077F |
|
1,817 |
1,730 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
940 |
921 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,315 |
1,284 |
$0.00 |
| 2028F |
|
221 |
216 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,336 |
4,134 |
$0.00 |
| 3051F |
|
14 |
14 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
13 |
12 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
28 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 1036F |
|
26,266 |
23,768 |
$0.00 |
| 1123F |
|
629 |
623 |
$0.00 |
| 3074F |
|
20,355 |
19,226 |
$0.00 |
| 3080F |
|
1,296 |
1,255 |
$0.00 |
| 3044F |
|
1,217 |
1,213 |
$0.00 |
| 1125F |
|
7,951 |
7,562 |
$0.00 |
| 1126F |
|
9,552 |
9,171 |
$0.00 |
| 1034F |
|
3,277 |
2,985 |
$0.00 |
| 1035F |
|
963 |
896 |
$0.00 |
| 94760 |
|
172 |
140 |
$0.00 |