| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,815 |
26,734 |
$265K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
239 |
$33K |
| 99460 |
|
515 |
503 |
$30K |
| 99381 |
|
280 |
272 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
518 |
505 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,069 |
1,057 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,251 |
1,230 |
$20K |
| 90670 |
|
1,092 |
1,066 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,470 |
1,445 |
$20K |
| 92552 |
|
2,663 |
2,641 |
$17K |
| G9920 |
Screening performed and negative |
4,625 |
4,600 |
$16K |
| 90750 |
|
203 |
202 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,819 |
2,726 |
$11K |
| 99462 |
|
380 |
284 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,039 |
1,017 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,057 |
1,027 |
$6K |
| 90651 |
|
577 |
558 |
$6K |
| 90686 |
|
1,161 |
1,146 |
$6K |
| 90700 |
|
1,130 |
1,104 |
$5K |
| 90648 |
|
939 |
918 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
369 |
363 |
$4K |
| 90715 |
|
327 |
315 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
278 |
273 |
$4K |
| 90713 |
|
838 |
813 |
$3K |
| 90658 |
|
1,093 |
1,032 |
$3K |
| 90744 |
|
840 |
817 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
124 |
124 |
$3K |
| 96156 |
|
2,959 |
2,941 |
$2K |
| 90680 |
|
394 |
380 |
$2K |
| 90662 |
|
194 |
191 |
$2K |
| 92551 |
|
989 |
986 |
$2K |
| 90716 |
|
352 |
341 |
$1K |
| 90633 |
|
312 |
306 |
$1K |
| 90707 |
|
321 |
314 |
$1K |
| 99397 |
|
64 |
62 |
$970.00 |
| 99173 |
|
1,508 |
1,502 |
$947.64 |
| 90461 |
|
93 |
91 |
$610.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
64 |
62 |
$601.48 |
| 90734 |
|
309 |
301 |
$591.50 |
| 88150 |
|
40 |
40 |
$500.00 |
| 90657 |
|
134 |
131 |
$387.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
166 |
164 |
$350.00 |
| 90672 |
|
79 |
76 |
$265.00 |
| 86580 |
|
99 |
98 |
$260.25 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
964 |
962 |
$222.50 |
| 90621 |
|
63 |
63 |
$89.00 |
| 97803 |
|
250 |
250 |
$77.55 |
| 90660 |
|
39 |
38 |
$70.00 |
| 99401 |
|
250 |
250 |
$31.50 |
| 3008F |
|
1,319 |
1,311 |
$31.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,459 |
2,433 |
$30.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,226 |
2,181 |
$19.80 |
| 3078F |
|
652 |
646 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
2,554 |
2,527 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
139 |
139 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$0.00 |
| 3077F |
|
33 |
33 |
$0.00 |
| G8540 |
Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter |
19 |
19 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,816 |
1,813 |
$0.00 |
| 3074F |
|
685 |
681 |
$0.00 |
| 3079F |
|
53 |
53 |
$0.00 |
| 3061F |
|
21 |
21 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
81 |
81 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 3075F |
|
34 |
34 |
$0.00 |
| 3044F |
|
19 |
19 |
$0.00 |