| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97012 |
|
19,630 |
3,919 |
$269K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,920 |
9,356 |
$162K |
| 99215 |
Prolong outpt/office vis |
1,324 |
1,154 |
$96K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,572 |
809 |
$28K |
| 99205 |
Prolong outpt/office vis |
295 |
245 |
$14K |
| 76830 |
Ultrasound, transvaginal |
722 |
405 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
823 |
422 |
$13K |
| 76536 |
|
728 |
379 |
$10K |
| 72100 |
|
1,883 |
975 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
318 |
152 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,431 |
711 |
$6K |
| 96160 |
|
7,023 |
5,103 |
$5K |
| 72040 |
|
1,157 |
586 |
$5K |
| 73560 |
|
1,383 |
646 |
$4K |
| 76770 |
|
146 |
69 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,358 |
35,290 |
$2K |
| 73030 |
|
667 |
326 |
$2K |
| 73620 |
|
699 |
315 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
531 |
267 |
$2K |
| 72070 |
|
409 |
191 |
$2K |
| 74018 |
|
582 |
284 |
$1K |
| 73120 |
|
404 |
201 |
$1K |
| 73502 |
|
156 |
69 |
$964.48 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107,847 |
85,650 |
$811.88 |
| 99441 |
|
22,196 |
19,336 |
$557.31 |
| 73630 |
|
78 |
49 |
$284.53 |
| 73100 |
|
53 |
27 |
$244.80 |
| 70220 |
|
26 |
12 |
$242.40 |
| 99442 |
|
6,770 |
6,125 |
$233.49 |
| 70250 |
|
15 |
14 |
$135.94 |
| 70260 |
|
40 |
28 |
$124.10 |
| 70210 |
|
22 |
12 |
$78.60 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20,215 |
16,027 |
$71.07 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
391 |
359 |
$58.52 |
| 99386 |
|
658 |
620 |
$56.16 |
| 97802 |
|
481 |
382 |
$53.74 |
| 93000 |
|
1,870 |
1,410 |
$34.00 |
| 99385 |
|
306 |
273 |
$28.08 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,570 |
4,796 |
$23.69 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,107 |
2,920 |
$23.69 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
8,839 |
7,068 |
$23.69 |
| 99397 |
|
2,539 |
1,964 |
$23.69 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
778 |
454 |
$23.69 |
| 1170F |
|
3,384 |
2,717 |
$0.00 |
| 3075F |
|
6,199 |
4,591 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,685 |
8,804 |
$0.00 |
| 3074F |
|
21,335 |
16,102 |
$0.00 |
| 99050 |
|
10,953 |
9,231 |
$0.00 |
| 1125F |
|
869 |
804 |
$0.00 |
| 86580 |
|
1,849 |
1,340 |
$0.00 |
| 3079F |
|
6,607 |
4,747 |
$0.00 |
| 90656 |
|
59 |
59 |
$0.00 |
| 3044F |
|
1,204 |
921 |
$0.00 |
| 1126F |
|
2,798 |
2,295 |
$0.00 |
| 3008F |
|
6,760 |
5,470 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,051 |
3,625 |
$0.00 |
| 96127 |
|
3,195 |
2,865 |
$0.00 |
| 3080F |
|
2,775 |
1,809 |
$0.00 |
| 3061F |
|
650 |
475 |
$0.00 |
| 1111F |
|
566 |
441 |
$0.00 |
| 99443 |
|
97 |
75 |
$0.00 |
| 90680 |
|
17 |
17 |
$0.00 |
| 3017F |
|
1,214 |
896 |
$0.00 |
| 99384 |
|
492 |
438 |
$0.00 |
| 76641 |
|
73 |
73 |
$0.00 |
| 91301 |
|
54 |
52 |
$0.00 |
| 1030F |
|
150 |
124 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
12 |
$0.00 |
| 4010F |
|
47 |
26 |
$0.00 |
| 1022F |
|
148 |
123 |
$0.00 |
| 3048F |
|
165 |
114 |
$0.00 |
| 3014F |
|
140 |
100 |
$0.00 |
| 92551 |
|
76 |
59 |
$0.00 |
| 3049F |
|
31 |
25 |
$0.00 |
| 90744 |
|
32 |
31 |
$0.00 |
| 99174 |
|
48 |
44 |
$0.00 |
| 0011A |
|
21 |
21 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
42 |
37 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$0.00 |
| 99368 |
|
15 |
14 |
$0.00 |
| 0012A |
|
23 |
23 |
$0.00 |
| 99447 |
|
14 |
13 |
$0.00 |
| 1159F |
|
4,501 |
3,672 |
$0.00 |
| 3077F |
|
8,989 |
6,314 |
$0.00 |
| 99408 |
|
3,865 |
2,837 |
$0.00 |
| 3078F |
|
27,348 |
20,602 |
$0.00 |
| 1160F |
|
4,260 |
3,473 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
198 |
190 |
$0.00 |
| 99173 |
|
324 |
238 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,869 |
3,558 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,304 |
1,768 |
$0.00 |
| 3050F |
|
13 |
13 |
$0.00 |
| 83655 |
|
403 |
308 |
$0.00 |
| 90713 |
|
54 |
53 |
$0.00 |
| 90649 |
|
28 |
28 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
168 |
151 |
$0.00 |
| 90648 |
|
46 |
45 |
$0.00 |
| 2028F |
|
241 |
191 |
$0.00 |
| 99446 |
|
65 |
45 |
$0.00 |
| 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 |
143 |
131 |
$0.00 |
| 99387 |
|
107 |
102 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
130 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 99449 |
|
80 |
41 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
81 |
72 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
276 |
247 |
$0.00 |
| 90700 |
|
54 |
53 |
$0.00 |
| 1033F |
|
84 |
67 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
123 |
116 |
$0.00 |
| 90670 |
|
32 |
32 |
$0.00 |
| 90473 |
|
79 |
76 |
$0.00 |
| 97803 |
|
34 |
26 |
$0.00 |
| 99347 |
|
15 |
14 |
$0.00 |