| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134,906 |
103,679 |
$177K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,960 |
7,473 |
$76K |
| 96160 |
|
2,686 |
2,532 |
$71K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,962 |
3,769 |
$54K |
| 90461 |
|
8,917 |
2,915 |
$51K |
| 0002A |
|
1,310 |
1,205 |
$48K |
| 0001A |
|
1,136 |
1,082 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,704 |
4,309 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28,490 |
20,648 |
$31K |
| 0004A |
|
815 |
782 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,313 |
10,597 |
$23K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
4,911 |
4,292 |
$20K |
| 0012A |
|
322 |
308 |
$11K |
| 0072A |
|
228 |
228 |
$9K |
| 0071A |
|
233 |
226 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,360 |
2,217 |
$8K |
| 0003A |
|
423 |
196 |
$7K |
| 0011A |
|
360 |
354 |
$7K |
| 97803 |
|
1,618 |
1,072 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
104 |
103 |
$6K |
| 0064A |
|
125 |
114 |
$4K |
| 90670 |
|
3,105 |
2,302 |
$4K |
| 90656 |
|
2,721 |
2,119 |
$4K |
| 99050 |
|
3,243 |
2,880 |
$4K |
| 97802 |
|
973 |
712 |
$3K |
| 0013A |
|
202 |
79 |
$3K |
| 90633 |
|
2,802 |
2,202 |
$3K |
| 90649 |
|
2,621 |
2,129 |
$2K |
| 90734 |
|
2,030 |
1,563 |
$2K |
| 90648 |
|
2,008 |
1,525 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
127 |
127 |
$1K |
| 0124A |
|
32 |
32 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
507 |
437 |
$1K |
| 91307 |
|
480 |
440 |
$920.00 |
| 0031A |
|
22 |
15 |
$880.00 |
| 90733 |
|
1,720 |
1,315 |
$836.00 |
| 90723 |
|
897 |
775 |
$784.00 |
| 90680 |
|
605 |
497 |
$718.00 |
| 90715 |
|
1,079 |
879 |
$595.00 |
| 90716 |
|
1,393 |
1,112 |
$591.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
243 |
213 |
$544.08 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
852 |
571 |
$473.80 |
| 99441 |
|
23,009 |
18,567 |
$472.87 |
| 99215 |
Prolong outpt/office vis |
1,898 |
965 |
$464.04 |
| 90707 |
|
1,296 |
1,059 |
$378.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,205 |
8,924 |
$307.97 |
| 90657 |
|
323 |
250 |
$284.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
80 |
80 |
$246.10 |
| 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 |
31,940 |
25,953 |
$240.92 |
| 99442 |
|
9,857 |
8,406 |
$232.14 |
| 99443 |
|
1,102 |
971 |
$155.14 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,768 |
7,670 |
$142.14 |
| 93000 |
|
181 |
176 |
$138.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
11,783 |
10,018 |
$61.44 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17,646 |
12,747 |
$47.38 |
| 90744 |
|
168 |
128 |
$45.00 |
| 90698 |
|
261 |
198 |
$18.00 |
| 99401 |
|
10,315 |
5,709 |
$12.22 |
| 91306 |
|
57 |
57 |
$0.01 |
| 2010F |
|
39,552 |
30,015 |
$0.00 |
| 1126F |
|
18,175 |
15,478 |
$0.00 |
| 3079F |
|
12,444 |
10,982 |
$0.00 |
| 3017F |
|
4,168 |
3,797 |
$0.00 |
| 1036F |
|
11,539 |
9,451 |
$0.00 |
| 1170F |
|
34,700 |
28,446 |
$0.00 |
| 1125F |
|
13,075 |
11,008 |
$0.00 |
| 3074F |
|
40,165 |
33,897 |
$0.00 |
| 3044F |
|
4,407 |
3,920 |
$0.00 |
| 2001F |
|
28,777 |
21,899 |
$0.00 |
| 3008F |
|
73,044 |
59,855 |
$0.00 |
| 1157F |
|
13,400 |
10,830 |
$0.00 |
| 2000F |
|
27,366 |
20,576 |
$0.00 |
| 1101F |
|
5,805 |
4,671 |
$0.00 |
| 3048F |
|
6,345 |
5,818 |
$0.00 |
| 3061F |
|
2,443 |
2,245 |
$0.00 |
| 3080F |
|
2,396 |
2,179 |
$0.00 |
| 3011F |
|
3,982 |
3,543 |
$0.00 |
| 99606 |
|
3,791 |
3,159 |
$0.00 |
| 1022F |
|
599 |
385 |
$0.00 |
| 4010F |
|
3,048 |
2,359 |
$0.00 |
| 3075F |
|
6,140 |
5,030 |
$0.00 |
| 1034F |
|
545 |
486 |
$0.00 |
| 1031F |
|
262 |
253 |
$0.00 |
| 3049F |
|
2,207 |
2,097 |
$0.00 |
| 1000F |
|
772 |
542 |
$0.00 |
| 1030F |
|
1,165 |
910 |
$0.00 |
| 3037F |
|
147 |
119 |
$0.00 |
| 3014F |
|
2,097 |
1,985 |
$0.00 |
| 3754F |
|
32 |
28 |
$0.00 |
| 96127 |
|
557 |
154 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
207 |
191 |
$0.00 |
| 1123F |
|
246 |
169 |
$0.00 |
| 1220F |
|
637 |
497 |
$0.00 |
| 90696 |
|
262 |
233 |
$0.00 |
| 1005F |
|
182 |
174 |
$0.00 |
| 4037F |
|
364 |
353 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104 |
90 |
$0.00 |
| 3351F |
|
24 |
24 |
$0.00 |
| 3072F |
|
579 |
373 |
$0.00 |
| 99403 |
|
217 |
204 |
$0.00 |
| 98967 |
|
15 |
15 |
$0.00 |
| 0509F |
|
71 |
63 |
$0.00 |
| 92551 |
|
92 |
92 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
47 |
47 |
$0.00 |
| 3060F |
|
44 |
39 |
$0.00 |
| 99366 |
|
107 |
105 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
104 |
104 |
$0.00 |
| 91301 |
|
46 |
46 |
$0.00 |
| 92250 |
|
14 |
14 |
$0.00 |
| 92002 |
|
12 |
12 |
$0.00 |
| 97035 |
|
60 |
14 |
$0.00 |
| 0513F |
|
30 |
30 |
$0.00 |
| 0518F |
|
3,641 |
2,838 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,061 |
985 |
$0.00 |
| 1159F |
|
67,127 |
54,203 |
$0.00 |
| 1160F |
|
63,264 |
50,851 |
$0.00 |
| 3077F |
|
3,840 |
3,544 |
$0.00 |
| 1158F |
|
11,011 |
9,798 |
$0.00 |
| 4035F |
|
2,959 |
1,991 |
$0.00 |
| 3078F |
|
34,262 |
28,920 |
$0.00 |
| 99497 |
|
118 |
108 |
$0.00 |
| 0521F |
|
17,068 |
13,992 |
$0.00 |
| 2014F |
|
7,187 |
5,479 |
$0.00 |
| 99173 |
|
521 |
511 |
$0.00 |
| 3725F |
|
3,906 |
3,629 |
$0.00 |
| 3045F |
|
198 |
182 |
$0.00 |
| 99408 |
|
579 |
153 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
337 |
315 |
$0.00 |
| 99446 |
|
795 |
742 |
$0.00 |
| 3028F |
|
109 |
91 |
$0.00 |
| 1003F |
|
1,595 |
1,093 |
$0.00 |
| 3050F |
|
1,316 |
1,256 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
915 |
799 |
$0.00 |
| 4551F |
|
1,618 |
1,105 |
$0.00 |
| 98960 |
|
124 |
123 |
$0.00 |
| 3015F |
|
3,894 |
3,273 |
$0.00 |
| 1119F |
|
236 |
232 |
$0.00 |
| 3016F |
|
129 |
110 |
$0.00 |
| 2027F |
|
12 |
12 |
$0.00 |
| 1090F |
|
391 |
326 |
$0.00 |
| 99242 |
|
1,209 |
520 |
$0.00 |
| 2028F |
|
190 |
158 |
$0.00 |
| 1033F |
|
830 |
492 |
$0.00 |
| 99421 |
|
2,882 |
2,194 |
$0.00 |
| 3046F |
|
253 |
237 |
$0.00 |
| 90700 |
|
160 |
140 |
$0.00 |
| 99490 |
Ccm add 20min |
370 |
332 |
$0.00 |
| 91300 |
|
966 |
927 |
$0.00 |
| 98968 |
|
103 |
103 |
$0.00 |
| 91312 |
|
32 |
32 |
$0.00 |
| 99201 |
|
33 |
33 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
108 |
108 |
$0.00 |
| 2022F |
|
39 |
39 |
$0.00 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 |
129 |
119 |
$0.00 |
| 3095F |
|
12 |
12 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 4013F |
|
13 |
12 |
$0.00 |