| Code | Description | Claims | Beneficiaries | Total Paid |
| 1159F |
|
20,092 |
18,669 |
$25K |
| 3008F |
|
27,380 |
25,297 |
$12K |
| 1125F |
|
5,275 |
5,049 |
$11K |
| 1126F |
|
4,863 |
4,673 |
$11K |
| 1160F |
|
17,631 |
16,461 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,864 |
6,598 |
$8K |
| 3078F |
|
16,162 |
15,042 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,177 |
14,147 |
$4K |
| 3074F |
|
18,103 |
16,862 |
$4K |
| 99499 |
|
7,156 |
6,367 |
$3K |
| 3077F |
|
1,892 |
1,814 |
$2K |
| 3079F |
|
5,187 |
4,976 |
$1K |
| 1100F |
|
509 |
495 |
$1K |
| 1091F |
|
586 |
558 |
$1K |
| 1090F |
|
333 |
328 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
5,779 |
5,499 |
$600.55 |
| 1158F |
|
24 |
24 |
$573.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,151 |
1,107 |
$517.16 |
| 3075F |
|
1,203 |
1,176 |
$491.46 |
| 3080F |
|
309 |
298 |
$287.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
914 |
904 |
$257.29 |
| 1170F |
|
625 |
608 |
$218.08 |
| 1220F |
|
337 |
324 |
$153.93 |
| 71046 |
Radiologic examination, chest; 2 views |
114 |
113 |
$120.53 |
| 99441 |
|
73 |
70 |
$75.50 |
| 99442 |
|
392 |
373 |
$60.11 |
| 3288F |
|
512 |
497 |
$59.87 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
35 |
34 |
$51.63 |
| 92551 |
|
583 |
573 |
$11.02 |
| 90688 |
|
299 |
296 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
83 |
83 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
64 |
57 |
$0.00 |
| 1000F |
|
45 |
44 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
50 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
51 |
51 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
35 |
$0.00 |
| 99443 |
|
45 |
42 |
$0.00 |
| 88142 |
|
12 |
12 |
$0.00 |
| 3044F |
|
70 |
67 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
264 |
263 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
417 |
400 |
$0.00 |
| 99173 |
|
584 |
579 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
338 |
338 |
$0.00 |
| 88164 |
|
14 |
14 |
$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 |
174 |
168 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
46 |
$0.00 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
47 |
45 |
$0.00 |
| 1003F |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
127 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
79 |
78 |
$0.00 |
| 3755F |
|
88 |
87 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
45 |
45 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
81 |
80 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |