| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,679 |
10,578 |
$622K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,856 |
1,517 |
$141K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,478 |
1,333 |
$123K |
| 99385 |
|
1,061 |
977 |
$110K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,151 |
1,029 |
$95K |
| 99386 |
|
413 |
366 |
$43K |
| 91320 |
|
304 |
190 |
$37K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,782 |
572 |
$37K |
| 90671 |
|
80 |
54 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
241 |
224 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
191 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
425 |
387 |
$18K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
114 |
86 |
$16K |
| 90686 |
|
556 |
400 |
$10K |
| 99383 |
|
83 |
76 |
$8K |
| 90756 |
|
317 |
232 |
$8K |
| 99384 |
|
70 |
64 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
72 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
212 |
106 |
$6K |
| 99406 |
|
1,215 |
973 |
$5K |
| 90656 |
|
212 |
168 |
$4K |
| 90688 |
|
218 |
154 |
$4K |
| 0124A |
|
82 |
59 |
$3K |
| 99408 |
|
1,111 |
933 |
$3K |
| 90651 |
|
161 |
141 |
$3K |
| 90734 |
|
137 |
111 |
$3K |
| 90480 |
|
84 |
79 |
$3K |
| 97803 |
|
1,991 |
1,676 |
$2K |
| 99382 |
|
18 |
13 |
$2K |
| 90633 |
|
126 |
104 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
31 |
19 |
$1K |
| 90715 |
|
85 |
60 |
$1K |
| 81025 |
|
265 |
203 |
$1K |
| 90661 |
|
29 |
25 |
$899.25 |
| 90710 |
|
62 |
55 |
$876.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,365 |
1,048 |
$870.39 |
| 0001A |
|
16 |
16 |
$674.24 |
| 0004A |
|
17 |
13 |
$623.39 |
| 0064A |
|
13 |
13 |
$547.82 |
| 0012A |
|
12 |
12 |
$505.68 |
| 36415 |
Collection of venous blood by venipuncture |
554 |
465 |
$327.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
27 |
$294.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
168 |
116 |
$79.55 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
88 |
58 |
$75.25 |
| 90655 |
|
18 |
16 |
$25.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,984 |
2,432 |
$5.00 |
| 3079F |
|
1,624 |
1,431 |
$2.50 |
| 3078F |
|
2,577 |
2,149 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,666 |
3,075 |
$0.00 |
| 1160F |
|
285 |
217 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
289 |
239 |
$0.00 |
| 4004F |
|
1,939 |
1,530 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,144 |
920 |
$0.00 |
| 91312 |
|
15 |
13 |
$0.00 |
| 4013F |
|
137 |
113 |
$0.00 |
| 91300 |
|
22 |
20 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
123 |
118 |
$0.00 |
| 4274F |
|
96 |
66 |
$0.00 |
| 1003F |
|
22 |
18 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
41 |
29 |
$0.00 |
| 3077F |
|
31 |
28 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,078 |
3,400 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,849 |
1,513 |
$0.00 |
| 3075F |
|
1,103 |
957 |
$0.00 |
| 3074F |
|
2,617 |
2,213 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,534 |
2,167 |
$0.00 |
| 1101F |
|
106 |
83 |
$0.00 |
| 91301 |
|
53 |
53 |
$0.00 |
| G9793 |
Patient is currently on a daily aspirin or other antiplatelet |
96 |
70 |
$0.00 |
| 1036F |
|
1,576 |
1,267 |
$0.00 |
| 3044F |
|
40 |
27 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
221 |
188 |
$0.00 |
| 3080F |
|
33 |
30 |
$0.00 |