| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,663 |
21,822 |
$102K |
| 99385 |
|
2,171 |
2,102 |
$14K |
| 99386 |
|
1,173 |
1,126 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
7,728 |
7,004 |
$9K |
| 3074F |
|
19,937 |
17,441 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
917 |
873 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,361 |
4,097 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
799 |
788 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
707 |
671 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
825 |
760 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
566 |
537 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
796 |
764 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
3,096 |
2,646 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
225 |
214 |
$2K |
| 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 |
967 |
851 |
$2K |
| 0011A |
|
62 |
57 |
$1K |
| 99442 |
|
788 |
749 |
$1K |
| 0012A |
|
47 |
43 |
$1K |
| 1159F |
|
18,130 |
15,522 |
$986.69 |
| 99397 |
|
187 |
178 |
$943.05 |
| 3075F |
|
2,122 |
1,993 |
$875.22 |
| 93000 |
|
913 |
899 |
$499.53 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
128 |
$439.23 |
| 0013A |
|
15 |
13 |
$294.59 |
| 99383 |
|
30 |
29 |
$176.98 |
| 1160F |
|
18,104 |
15,485 |
$164.01 |
| 3078F |
|
15,678 |
13,660 |
$138.74 |
| 99387 |
|
12 |
12 |
$131.59 |
| 99384 |
|
14 |
14 |
$114.08 |
| 3079F |
|
6,219 |
5,503 |
$113.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
93 |
90 |
$85.58 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,855 |
1,616 |
$50.44 |
| 99071 |
|
1,477 |
1,379 |
$32.13 |
| 3077F |
|
419 |
380 |
$25.22 |
| 86580 |
|
15 |
12 |
$13.45 |
| 1111F |
|
305 |
296 |
$12.61 |
| 90687 |
|
117 |
116 |
$10.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
256 |
252 |
$0.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
21 |
21 |
$0.14 |
| 83655 |
|
58 |
58 |
$0.07 |
| 3049F |
|
554 |
533 |
$0.00 |
| 90716 |
|
40 |
31 |
$0.00 |
| 3048F |
|
888 |
853 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
104 |
102 |
$0.00 |
| 3044F |
|
906 |
880 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
308 |
281 |
$0.00 |
| 90686 |
|
1,491 |
1,273 |
$0.00 |
| 3008F |
|
1,606 |
1,424 |
$0.00 |
| 3014F |
|
14 |
12 |
$0.00 |
| 90651 |
|
211 |
191 |
$0.00 |
| 91301 |
|
82 |
78 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 3080F |
|
277 |
257 |
$0.00 |
| 1170F |
|
27 |
26 |
$0.00 |
| 3061F |
|
46 |
44 |
$0.00 |
| 3017F |
|
26 |
26 |
$0.00 |
| 90619 |
|
48 |
40 |
$0.00 |
| 1157F |
|
27 |
26 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
18 |
15 |
$0.00 |
| 90674 |
|
19 |
19 |
$0.00 |
| 92568 |
|
84 |
84 |
$0.00 |
| 90633 |
|
441 |
402 |
$0.00 |
| 90670 |
|
228 |
217 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
482 |
442 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
17 |
13 |
$0.00 |
| 3050F |
|
440 |
427 |
$0.00 |
| 90671 |
|
26 |
26 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90685 |
|
41 |
41 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90681 |
|
14 |
14 |
$0.00 |
| 90710 |
|
21 |
16 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |