| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
128 |
128 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,187 |
1,187 |
$56.63 |
| 99188 |
|
1,420 |
1,386 |
$35.64 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,462 |
1,430 |
$34.34 |
| 92551 |
|
5,856 |
5,833 |
$11.02 |
| 81002 |
|
1,789 |
1,718 |
$4.26 |
| 85018 |
|
3,376 |
3,341 |
$2.05 |
| 99443 |
|
14 |
14 |
$0.97 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,909 |
1,904 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,077 |
3,072 |
$0.00 |
| 99173 |
|
6,862 |
6,839 |
$0.00 |
| 3077F |
|
1,444 |
1,390 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,441 |
4,257 |
$0.00 |
| 96160 |
|
584 |
584 |
$0.00 |
| 3078F |
|
6,384 |
6,185 |
$0.00 |
| 81025 |
|
681 |
673 |
$0.00 |
| 90461 |
|
2,226 |
1,239 |
$0.00 |
| G9920 |
Screening performed and negative |
5,274 |
5,259 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,446 |
2,404 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,648 |
1,584 |
$0.00 |
| 91300 |
|
476 |
415 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,627 |
1,626 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
932 |
932 |
$0.00 |
| 59425 |
|
124 |
94 |
$0.00 |
| 0053A |
|
24 |
24 |
$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 |
5,393 |
5,156 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
104 |
102 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
664 |
663 |
$0.00 |
| 91313 |
|
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,503 |
1,500 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,915 |
1,865 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
95 |
$0.00 |
| 99177 |
|
121 |
121 |
$0.00 |
| 3051F |
|
13 |
13 |
$0.00 |
| 0002A |
|
166 |
166 |
$0.00 |
| 0013A |
|
36 |
35 |
$0.00 |
| 0124A |
|
43 |
43 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
56 |
56 |
$0.00 |
| 91312 |
|
43 |
43 |
$0.00 |
| 0071A |
|
62 |
48 |
$0.00 |
| 0004A |
|
26 |
21 |
$0.00 |
| 0003A |
|
15 |
15 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$0.00 |
| 99442 |
|
16 |
16 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,639 |
18,984 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,060 |
3,043 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,809 |
1,171 |
$0.00 |
| 96127 |
|
1,794 |
1,775 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,808 |
1,804 |
$0.00 |
| 1125F |
|
3,005 |
2,920 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,822 |
19,773 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
665 |
654 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
14,312 |
13,509 |
$0.00 |
| 3075F |
|
2,218 |
2,190 |
$0.00 |
| 36416 |
|
3,344 |
3,303 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,246 |
2,208 |
$0.00 |
| 3079F |
|
2,980 |
2,915 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27,253 |
25,988 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
319 |
315 |
$0.00 |
| 1126F |
|
7,864 |
7,561 |
$0.00 |
| 3074F |
|
5,928 |
5,754 |
$0.00 |
| 3044F |
|
227 |
227 |
$0.00 |
| 99385 |
|
420 |
420 |
$0.00 |
| 91305 |
|
129 |
126 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
433 |
417 |
$0.00 |
| 3080F |
|
207 |
199 |
$0.00 |
| 0011A |
|
232 |
232 |
$0.00 |
| 99384 |
|
99 |
99 |
$0.00 |
| 93000 |
|
93 |
90 |
$0.00 |
| 91306 |
|
214 |
172 |
$0.00 |
| 96161 |
|
105 |
105 |
$0.00 |
| 91301 |
|
418 |
396 |
$0.00 |
| 90474 |
|
41 |
40 |
$0.00 |
| 0001A |
|
184 |
184 |
$0.00 |
| 99441 |
|
265 |
253 |
$0.00 |
| 91307 |
|
120 |
94 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 0064A |
|
190 |
146 |
$0.00 |
| 82043 |
|
72 |
72 |
$0.00 |
| 0012A |
|
234 |
234 |
$0.00 |
| 86580 |
|
60 |
58 |
$0.00 |
| 0134A |
|
13 |
13 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
33 |
33 |
$0.00 |
| 0072A |
|
16 |
16 |
$0.00 |
| 99383 |
|
64 |
64 |
$0.00 |
| 3008F |
|
13 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$0.00 |