| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,158 |
20,488 |
$343K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,616 |
9,064 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,118 |
4,725 |
$132K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,612 |
1,356 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
766 |
706 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,621 |
2,262 |
$20K |
| 3074F |
|
21,520 |
19,086 |
$15K |
| 99385 |
|
302 |
290 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
281 |
278 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
232 |
229 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
134 |
126 |
$8K |
| 99441 |
|
1,161 |
1,092 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,341 |
2,292 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,190 |
1,169 |
$6K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
677 |
642 |
$5K |
| 3075F |
|
5,652 |
4,506 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
504 |
407 |
$4K |
| 99386 |
|
53 |
50 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
38 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
73 |
$3K |
| 99397 |
|
341 |
183 |
$3K |
| 99383 |
|
47 |
47 |
$3K |
| 99215 |
Prolong outpt/office vis |
45 |
42 |
$3K |
| 90461 |
|
322 |
306 |
$2K |
| 99442 |
|
535 |
502 |
$2K |
| 1159F |
|
41,068 |
32,595 |
$2K |
| 93000 |
|
915 |
784 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,561 |
1,456 |
$1K |
| 3008F |
|
15,758 |
8,607 |
$859.31 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$705.86 |
| 99443 |
|
105 |
96 |
$686.53 |
| 1000F |
|
3,044 |
1,595 |
$366.86 |
| 2000F |
|
751 |
341 |
$347.94 |
| 99173 |
|
1,973 |
1,867 |
$344.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,374 |
2,509 |
$236.53 |
| 4050F |
|
2,858 |
1,285 |
$182.66 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
1,712 |
746 |
$169.24 |
| 90688 |
|
12 |
12 |
$168.20 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,485 |
3,084 |
$140.00 |
| 11721 |
|
192 |
190 |
$94.75 |
| 3351F |
|
1,895 |
805 |
$78.64 |
| 1126F |
|
6,030 |
5,542 |
$73.92 |
| 99499 |
|
3,522 |
1,980 |
$73.88 |
| 1003F |
|
6,411 |
3,075 |
$59.83 |
| 90661 |
|
106 |
106 |
$50.81 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
264 |
252 |
$32.91 |
| 90685 |
|
25 |
25 |
$30.00 |
| 3079F |
|
7,449 |
5,971 |
$23.47 |
| 92551 |
|
1,483 |
1,421 |
$3.11 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,217 |
1,100 |
$1.69 |
| 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 |
726 |
639 |
$1.20 |
| 1160F |
|
36,552 |
28,645 |
$0.30 |
| 3078F |
|
19,388 |
16,566 |
$0.14 |
| 99384 |
|
14 |
14 |
$0.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.03 |
| 90694 |
|
92 |
92 |
$0.02 |
| 1125F |
|
229 |
137 |
$0.01 |
| 36415 |
Collection of venous blood by venipuncture |
171 |
168 |
$0.01 |
| 1036F |
|
2,322 |
1,197 |
$0.00 |
| 1170F |
|
682 |
506 |
$0.00 |
| 1157F |
|
308 |
165 |
$0.00 |
| 1101F |
|
756 |
681 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,860 |
1,097 |
$0.00 |
| 3352F |
|
1,953 |
857 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,296 |
1,044 |
$0.00 |
| 4010F |
|
218 |
147 |
$0.00 |
| 4037F |
|
1,710 |
723 |
$0.00 |
| 90686 |
|
865 |
824 |
$0.00 |
| 90651 |
|
42 |
42 |
$0.00 |
| 1123F |
|
120 |
119 |
$0.00 |
| 4000F |
|
94 |
92 |
$0.00 |
| 3014F |
|
53 |
52 |
$0.00 |
| 0545F |
|
29 |
27 |
$0.00 |
| 90674 |
|
75 |
75 |
$0.00 |
| 97026 |
|
49 |
14 |
$0.00 |
| 3017F |
|
28 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |
| 1111F |
|
89 |
12 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
13 |
13 |
$0.00 |
| 90716 |
|
25 |
24 |
$0.00 |
| 3288F |
|
787 |
710 |
$0.00 |
| 4145F |
|
397 |
169 |
$0.00 |
| 90633 |
|
172 |
169 |
$0.00 |
| 4013F |
|
47 |
46 |
$0.00 |
| 4040F |
|
307 |
164 |
$0.00 |
| 1158F |
|
582 |
437 |
$0.00 |
| 0521F |
|
53 |
52 |
$0.00 |
| 1090F |
|
427 |
220 |
$0.00 |
| 90670 |
|
69 |
67 |
$0.00 |
| 4064F |
|
47 |
45 |
$0.00 |
| 3093F |
|
17 |
16 |
$0.00 |
| 90653 |
|
18 |
18 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 3015F |
|
30 |
28 |
$0.00 |
| 3077F |
|
26 |
25 |
$0.00 |
| 2028F |
|
28 |
27 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
18 |
$0.00 |
| 97813 |
|
49 |
13 |
$0.00 |