| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,627 |
13,206 |
$2.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,951 |
1,786 |
$245K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
676 |
673 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,326 |
1,178 |
$74K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
560 |
558 |
$65K |
| 99442 |
|
437 |
397 |
$37K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,129 |
2,105 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,524 |
1,431 |
$25K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,764 |
1,742 |
$21K |
| 90756 |
|
511 |
510 |
$16K |
| 99443 |
|
120 |
115 |
$14K |
| 93000 |
|
1,384 |
1,352 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
691 |
562 |
$12K |
| 99051 |
|
1,836 |
1,408 |
$11K |
| 90674 |
|
480 |
479 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
27 |
27 |
$7K |
| 92552 |
|
256 |
253 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
51 |
$6K |
| 94010 |
|
209 |
209 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
93 |
70 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
4,528 |
4,285 |
$4K |
| 97802 |
|
481 |
431 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$3K |
| 99441 |
|
54 |
50 |
$3K |
| 0064A |
|
62 |
62 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 0011A |
|
56 |
56 |
$2K |
| 0012A |
|
36 |
36 |
$2K |
| 90686 |
|
185 |
182 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
58 |
58 |
$1K |
| 81000 |
|
434 |
434 |
$1K |
| 90688 |
|
75 |
75 |
$963.02 |
| 90707 |
|
12 |
12 |
$931.15 |
| 90746 |
|
13 |
13 |
$903.55 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
58 |
58 |
$639.09 |
| 88142 |
|
58 |
58 |
$561.87 |
| 99173 |
|
163 |
157 |
$550.00 |
| 96127 |
|
100 |
99 |
$462.88 |
| 0031A |
|
17 |
17 |
$462.11 |
| 81003 |
|
396 |
385 |
$222.72 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
38 |
$137.20 |
| 83014 |
|
13 |
13 |
$63.63 |
| 91306 |
|
62 |
62 |
$0.18 |
| H0001 |
Alcohol and/or drug assessment |
36 |
36 |
$0.13 |
| 99000 |
|
2,509 |
2,357 |
$0.00 |
| 1036F |
|
18 |
17 |
$0.00 |
| 1220F |
|
66 |
66 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 3011F |
|
42 |
41 |
$0.00 |
| 3048F |
|
37 |
36 |
$0.00 |
| 91301 |
|
106 |
104 |
$0.00 |
| 3008F |
|
134 |
119 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
58 |
58 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
246 |
237 |
$0.00 |
| 3044F |
|
28 |
28 |
$0.00 |
| 91303 |
|
17 |
17 |
$0.00 |
| 1000F |
|
33 |
32 |
$0.00 |
| 91307 |
|
15 |
12 |
$0.00 |
| 3074F |
|
43 |
43 |
$0.00 |
| 3725F |
|
103 |
103 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
180 |
166 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
35 |
35 |
$0.00 |
| 3078F |
|
43 |
43 |
$0.00 |