| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95144 |
|
7,756 |
827 |
$1.39M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
798 |
797 |
$107K |
| 95117 |
|
3,526 |
870 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,429 |
20,356 |
$23K |
| 92552 |
|
1,392 |
1,388 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,386 |
1,374 |
$8K |
| 99441 |
|
28 |
28 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
465 |
465 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
552 |
552 |
$523.41 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
512 |
512 |
$282.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,072 |
1,028 |
$256.17 |
| 86580 |
|
68 |
65 |
$195.07 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
465 |
465 |
$119.68 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
73 |
$114.76 |
| 81001 |
|
1,717 |
1,710 |
$102.46 |
| 85018 |
|
1,962 |
1,959 |
$91.98 |
| 99381 |
|
19 |
19 |
$60.00 |
| 99173 |
|
483 |
482 |
$41.74 |
| 92551 |
|
18 |
18 |
$15.84 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
522 |
521 |
$15.15 |
| 99499 |
|
8,595 |
7,734 |
$4.85 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
522 |
522 |
$2.97 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
712 |
709 |
$1.98 |
| 3078F |
|
59 |
55 |
$0.00 |
| 1159F |
|
6,017 |
4,560 |
$0.00 |
| 1160F |
|
6,013 |
4,561 |
$0.00 |
| 81002 |
|
241 |
239 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
64 |
64 |
$0.00 |
| 3077F |
|
138 |
129 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
24 |
$0.00 |
| 4004F |
|
170 |
165 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 1036F |
|
1,963 |
1,948 |
$0.00 |
| 3017F |
|
431 |
431 |
$0.00 |
| 90650 |
|
16 |
16 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
455 |
455 |
$0.00 |
| 3074F |
|
78 |
74 |
$0.00 |
| 3080F |
|
129 |
121 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
142 |
142 |
$0.00 |
| 3075F |
|
53 |
49 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
33 |
33 |
$0.00 |
| 1125F |
|
219 |
208 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |
| 99000 |
|
29 |
29 |
$0.00 |
| 88141 |
|
12 |
12 |
$0.00 |
| 3044F |
|
203 |
191 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 3079F |
|
86 |
82 |
$0.00 |