| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
34,439 |
24,672 |
$1.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,765 |
44,695 |
$728K |
| 99215 |
Prolong outpt/office vis |
4,471 |
4,396 |
$527K |
| Z1034 |
|
7,158 |
5,363 |
$485K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,688 |
12,451 |
$457K |
| 76813 |
|
2,990 |
2,785 |
$295K |
| J3490 |
Unclassified drugs |
4,761 |
4,192 |
$278K |
| 59430 |
|
4,728 |
3,472 |
$262K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
41,787 |
40,476 |
$232K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,084 |
23,930 |
$217K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,361 |
2,337 |
$209K |
| Z1032 |
|
1,244 |
1,240 |
$185K |
| 99381 |
|
3,375 |
3,317 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,713 |
9,285 |
$128K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,330 |
5,233 |
$125K |
| G9920 |
Screening performed and negative |
27,186 |
27,009 |
$99K |
| 3351F |
|
3,384 |
3,148 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,603 |
15,481 |
$88K |
| 90715 |
|
3,641 |
3,423 |
$86K |
| 81003 |
|
46,017 |
34,350 |
$81K |
| 88141 |
|
2,260 |
1,051 |
$78K |
| D1206 |
Topical application of fluoride varnish |
10,342 |
10,243 |
$77K |
| 81025 |
|
23,282 |
22,215 |
$72K |
| Z6500 |
|
534 |
534 |
$66K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,224 |
1,217 |
$62K |
| 76801 |
|
825 |
802 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,717 |
11,611 |
$45K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,201 |
6,025 |
$44K |
| H2000 |
Comprehensive multidisciplinary evaluation |
365 |
346 |
$42K |
| 90648 |
|
12,689 |
12,556 |
$38K |
| 90670 |
|
11,086 |
11,014 |
$35K |
| 90723 |
|
9,640 |
9,579 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,229 |
7,174 |
$34K |
| 3074F |
|
6,579 |
6,035 |
$33K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
4,291 |
4,180 |
$30K |
| 92551 |
|
27,842 |
27,645 |
$23K |
| 90686 |
|
12,193 |
12,117 |
$22K |
| 90680 |
|
4,265 |
4,244 |
$18K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
309 |
224 |
$18K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,082 |
1,022 |
$16K |
| 99401 |
|
1,327 |
1,175 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39,025 |
38,575 |
$12K |
| 99383 |
|
427 |
426 |
$12K |
| Z6400 |
|
704 |
701 |
$12K |
| 88142 |
|
930 |
928 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,821 |
2,804 |
$11K |
| Z6406 |
|
932 |
829 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,547 |
6,484 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
654 |
649 |
$10K |
| 11981 |
|
41 |
41 |
$9K |
| 0500F |
|
231 |
229 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,670 |
1,650 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
193 |
$8K |
| 3075F |
|
2,002 |
1,924 |
$8K |
| 90681 |
|
1,526 |
1,518 |
$7K |
| 90633 |
|
6,781 |
6,718 |
$7K |
| 3077F |
|
2,350 |
2,145 |
$6K |
| 99382 |
|
163 |
159 |
$5K |
| 85014 |
|
30,596 |
30,238 |
$4K |
| 99384 |
|
137 |
131 |
$4K |
| 90677 |
|
1,143 |
1,131 |
$4K |
| 90656 |
|
695 |
674 |
$4K |
| 90716 |
|
2,375 |
2,359 |
$4K |
| 85018 |
|
30,814 |
30,489 |
$4K |
| 96151 |
|
431 |
426 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,277 |
3,164 |
$3K |
| 97803 |
|
401 |
396 |
$3K |
| 90651 |
|
3,683 |
3,673 |
$3K |
| 83655 |
|
6,421 |
6,363 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
236 |
236 |
$3K |
| 58300 |
|
24 |
12 |
$2K |
| 90707 |
|
1,977 |
1,959 |
$2K |
| 99385 |
|
256 |
250 |
$2K |
| 90700 |
|
1,961 |
1,944 |
$2K |
| 90710 |
|
1,604 |
1,595 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,193 |
1,179 |
$2K |
| 90685 |
|
654 |
641 |
$1K |
| Z6304 |
|
155 |
147 |
$1K |
| 90734 |
|
1,355 |
1,343 |
$1K |
| 90696 |
|
1,387 |
1,378 |
$1K |
| Z6204 |
|
144 |
136 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$1K |
| 90620 |
|
1,268 |
1,265 |
$807.84 |
| 90619 |
|
1,208 |
1,206 |
$801.90 |
| 99201 |
|
15 |
15 |
$607.83 |
| 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 |
964 |
908 |
$603.24 |
| 99386 |
|
166 |
165 |
$531.78 |
| 86580 |
|
347 |
335 |
$503.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20,154 |
18,874 |
$421.30 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 |
882 |
837 |
$397.06 |
| 90381 |
|
40 |
40 |
$387.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
182 |
178 |
$347.71 |
| 96160 |
|
3,005 |
2,941 |
$333.96 |
| 99173 |
|
21,057 |
20,951 |
$306.44 |
| 97802 |
|
39 |
38 |
$279.29 |
| Z6410 |
|
17 |
15 |
$224.08 |
| 96150 |
|
26 |
26 |
$182.70 |
| 90380 |
|
19 |
19 |
$171.00 |
| Z6302 |
|
12 |
12 |
$158.97 |
| 90744 |
|
54 |
54 |
$152.91 |
| 1036F |
|
16,556 |
16,213 |
$144.72 |
| 90713 |
|
52 |
51 |
$125.82 |
| Z6202 |
|
12 |
12 |
$90.84 |
| 96127 |
|
12 |
12 |
$53.68 |
| H0049 |
Alcohol and/or drug screening |
15,697 |
15,422 |
$40.00 |
| A4267 |
Contraceptive supply, condom, male, each |
17 |
16 |
$35.47 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
681 |
677 |
$22.53 |
| 96161 |
|
6,416 |
6,325 |
$0.52 |
| 3078F |
|
6,189 |
5,591 |
$0.00 |
| 4004F |
|
334 |
327 |
$0.00 |
| 69210 |
|
18 |
17 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$0.00 |
| 91321 |
|
95 |
94 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 99499 |
|
56 |
55 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 3080F |
|
1,560 |
1,437 |
$0.00 |
| 3079F |
|
3,908 |
3,666 |
$0.00 |
| 2001F |
|
1,424 |
1,323 |
$0.00 |
| 3044F |
|
26 |
26 |
$0.00 |
| 3008F |
|
14 |
14 |
$0.00 |
| 0011A |
|
14 |
14 |
$0.00 |
| 3353F |
|
13 |
12 |
$0.00 |