| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107,312 |
91,893 |
$233K |
| 96160 |
|
6,490 |
6,330 |
$175K |
| 99050 |
|
2,070 |
1,871 |
$68K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,044 |
3,399 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,329 |
1,626 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
11,516 |
10,133 |
$9K |
| 99441 |
|
2,754 |
2,431 |
$5K |
| 99442 |
|
2,810 |
2,521 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
214 |
143 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,126 |
5,834 |
$820.78 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,747 |
1,311 |
$607.44 |
| 99201 |
|
507 |
503 |
$534.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
604 |
573 |
$357.17 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,627 |
6,578 |
$356.59 |
| 90688 |
|
716 |
553 |
$350.34 |
| 90649 |
|
255 |
232 |
$340.02 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
369 |
270 |
$322.54 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,422 |
3,806 |
$318.45 |
| 90834 |
Psychotherapy, 45 minutes with patient |
78 |
52 |
$297.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
248 |
227 |
$259.50 |
| 99241 |
|
17 |
13 |
$175.00 |
| 96127 |
|
18,494 |
16,587 |
$94.66 |
| 99422 |
|
111 |
111 |
$83.21 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$59.46 |
| 90461 |
|
259 |
125 |
$38.60 |
| 90670 |
|
380 |
370 |
$12.00 |
| 90686 |
|
300 |
298 |
$6.00 |
| 1157F |
|
45,865 |
40,730 |
$0.06 |
| 1160F |
|
25,491 |
23,187 |
$0.01 |
| 3725F |
|
25,821 |
22,996 |
$0.01 |
| 1158F |
|
29,536 |
26,617 |
$0.00 |
| 3078F |
|
48,788 |
43,154 |
$0.00 |
| 1159F |
|
28,785 |
25,993 |
$0.00 |
| 0521F |
|
953 |
892 |
$0.00 |
| 3077F |
|
17,176 |
15,562 |
$0.00 |
| 1032F |
|
1,022 |
941 |
$0.00 |
| 1090F |
|
5,906 |
5,294 |
$0.00 |
| 3045F |
|
32 |
26 |
$0.00 |
| 90648 |
|
94 |
94 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
360 |
309 |
$0.00 |
| 4004F |
|
11,435 |
10,259 |
$0.00 |
| 90707 |
|
150 |
149 |
$0.00 |
| 90633 |
|
135 |
134 |
$0.00 |
| 3050F |
|
346 |
310 |
$0.00 |
| 90715 |
|
37 |
37 |
$0.00 |
| 90734 |
|
201 |
188 |
$0.00 |
| 96152 |
|
47 |
42 |
$0.00 |
| 99408 |
|
72 |
42 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
24 |
$0.00 |
| 3046F |
|
48 |
44 |
$0.00 |
| 99382 |
|
15 |
15 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 3075F |
|
12,974 |
12,029 |
$0.00 |
| 3008F |
|
85,396 |
74,094 |
$0.00 |
| 1036F |
|
17,666 |
16,005 |
$0.00 |
| 3079F |
|
16,226 |
14,989 |
$0.00 |
| 1125F |
|
4,786 |
4,303 |
$0.00 |
| 1126F |
|
40,919 |
35,970 |
$0.00 |
| 1031F |
|
37,787 |
33,612 |
$0.00 |
| 1170F |
|
22,135 |
20,234 |
$0.00 |
| 3080F |
|
6,991 |
6,528 |
$0.00 |
| 3074F |
|
42,451 |
37,713 |
$0.00 |
| 3048F |
|
1,138 |
1,087 |
$0.00 |
| 4000F |
|
550 |
534 |
$0.00 |
| 99383 |
|
80 |
80 |
$0.00 |
| 90716 |
|
159 |
159 |
$0.00 |
| 3044F |
|
757 |
716 |
$0.00 |
| 3049F |
|
607 |
566 |
$0.00 |
| 3014F |
|
83 |
80 |
$0.00 |
| 1111F |
|
525 |
514 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 0509F |
|
99 |
86 |
$0.00 |
| 1035F |
|
613 |
492 |
$0.00 |
| 96150 |
|
45 |
45 |
$0.00 |
| 3017F |
|
272 |
266 |
$0.00 |
| 90620 |
|
134 |
133 |
$0.00 |
| 90696 |
|
47 |
47 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90651 |
|
38 |
14 |
$0.00 |
| 99381 |
|
25 |
25 |
$0.00 |
| 90650 |
|
37 |
21 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |