| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,543 |
4,138 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,143 |
3,823 |
$64K |
| 96156 |
|
1,731 |
1,724 |
$38K |
| 99201 |
|
338 |
254 |
$33K |
| Z1034 |
|
462 |
324 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,546 |
1,467 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
490 |
489 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
488 |
487 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
750 |
749 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
622 |
620 |
$12K |
| 92552 |
|
2,505 |
2,494 |
$12K |
| 96151 |
|
1,001 |
996 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
219 |
217 |
$7K |
| 99000 |
|
2,319 |
2,233 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,187 |
1,158 |
$4K |
| 90686 |
|
810 |
803 |
$4K |
| 85018 |
|
2,453 |
2,432 |
$3K |
| 99173 |
|
2,367 |
2,360 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
99 |
$1K |
| 3008F |
|
1,774 |
1,676 |
$858.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$742.04 |
| 90620 |
|
124 |
124 |
$603.00 |
| 90651 |
|
160 |
159 |
$522.00 |
| 90670 |
|
80 |
79 |
$495.00 |
| 90734 |
|
100 |
99 |
$414.00 |
| 1220F |
|
117 |
116 |
$412.50 |
| 90756 |
|
32 |
32 |
$404.70 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
24 |
24 |
$305.28 |
| 81025 |
|
94 |
94 |
$243.58 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
66 |
63 |
$217.25 |
| 90744 |
|
25 |
25 |
$198.00 |
| 83655 |
|
12 |
12 |
$154.66 |
| 90688 |
|
22 |
22 |
$144.00 |
| 86580 |
|
54 |
54 |
$120.18 |
| 90716 |
|
24 |
24 |
$99.00 |
| 90700 |
|
15 |
15 |
$72.00 |
| 90648 |
|
12 |
12 |
$63.00 |
| 90674 |
|
29 |
29 |
$63.00 |
| 90707 |
|
13 |
13 |
$54.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$40.62 |
| 90715 |
|
31 |
30 |
$36.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$36.00 |
| 96127 |
|
817 |
817 |
$24.05 |
| 81002 |
|
15 |
15 |
$20.87 |
| 3078F |
|
578 |
542 |
$0.00 |
| H0029 |
Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g., alcohol free social events) |
127 |
127 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 3074F |
|
577 |
537 |
$0.00 |
| 1126F |
|
427 |
427 |
$0.00 |
| 1125F |
|
15 |
15 |
$0.00 |
| 3079F |
|
28 |
28 |
$0.00 |