| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,516 |
2,491 |
$277K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,424 |
2,420 |
$213K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,315 |
2,314 |
$169K |
| 99242 |
|
1,901 |
1,751 |
$137K |
| 99497 |
|
1,337 |
1,334 |
$121K |
| 92552 |
|
3,284 |
3,273 |
$106K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,228 |
1,216 |
$91K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,227 |
4,224 |
$89K |
| 99493 |
|
524 |
524 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,510 |
26,180 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,243 |
16,587 |
$64K |
| 90688 |
|
3,569 |
3,549 |
$61K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,196 |
3,182 |
$49K |
| 99494 |
|
349 |
318 |
$43K |
| 90715 |
|
1,044 |
1,042 |
$33K |
| 90670 |
|
466 |
466 |
$25K |
| G9920 |
Screening performed and negative |
587 |
587 |
$24K |
| 80305 |
|
2,583 |
2,420 |
$22K |
| 99173 |
|
3,201 |
3,192 |
$20K |
| 90686 |
|
992 |
992 |
$19K |
| 90651 |
|
692 |
692 |
$13K |
| 85018 |
|
5,828 |
5,792 |
$13K |
| 90658 |
|
660 |
659 |
$12K |
| 90734 |
|
564 |
564 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
93 |
92 |
$11K |
| 90656 |
|
405 |
405 |
$10K |
| 90620 |
|
431 |
431 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
148 |
$8K |
| 99245 |
|
47 |
47 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
93 |
$6K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
173 |
171 |
$5K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
114 |
113 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,663 |
1,662 |
$5K |
| D1206 |
Topical application of fluoride varnish |
189 |
187 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
679 |
665 |
$4K |
| 99406 |
|
148 |
147 |
$2K |
| 90647 |
|
103 |
103 |
$2K |
| 81005 |
|
1,166 |
1,088 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
361 |
319 |
$2K |
| 99385 |
|
24 |
24 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$1K |
| 86580 |
|
160 |
160 |
$969.93 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
569 |
555 |
$784.94 |
| 90732 |
|
12 |
12 |
$621.90 |
| Q3014 |
Telehealth originating site facility fee |
22 |
22 |
$525.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
122 |
112 |
$487.47 |
| 99215 |
Prolong outpt/office vis |
50 |
50 |
$482.66 |
| 90633 |
|
25 |
25 |
$450.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$425.00 |
| 90723 |
|
24 |
24 |
$423.00 |
| 99188 |
|
15 |
15 |
$405.00 |
| 94664 |
|
27 |
27 |
$374.04 |
| 90714 |
|
13 |
13 |
$343.56 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$300.51 |
| 93000 |
|
113 |
113 |
$298.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$278.91 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
26 |
24 |
$264.10 |
| 69210 |
|
13 |
13 |
$99.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
315 |
315 |
$49.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$36.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
130 |
119 |
$34.36 |
| 94150 |
|
222 |
206 |
$25.05 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
30 |
30 |
$1.33 |
| 3078F |
|
3,422 |
3,006 |
$0.00 |
| 99397 |
|
39 |
39 |
$0.00 |
| 3077F |
|
416 |
376 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
82 |
82 |
$0.00 |
| 3079F |
|
1,715 |
1,565 |
$0.00 |
| 3074F |
|
3,976 |
3,419 |
$0.00 |
| 3080F |
|
147 |
138 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
728 |
725 |
$0.00 |
| 3075F |
|
948 |
895 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
444 |
444 |
$0.00 |