| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96160 |
|
367 |
362 |
$13K |
| 99050 |
|
291 |
270 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,924 |
2,542 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,331 |
8,282 |
$3K |
| 99441 |
|
572 |
489 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
306 |
281 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
30 |
27 |
$2K |
| 76641 |
|
26 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,000 |
972 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
304 |
296 |
$1K |
| 90473 |
|
58 |
52 |
$1K |
| 0012A |
|
19 |
12 |
$760.00 |
| 99442 |
|
211 |
192 |
$628.25 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,075 |
979 |
$119.45 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
110 |
$47.38 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
190 |
179 |
$47.38 |
| 1160F |
|
630 |
570 |
$0.00 |
| 3077F |
|
433 |
406 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
155 |
145 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
366 |
326 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
155 |
$0.00 |
| 3078F |
|
1,589 |
1,434 |
$0.00 |
| 1159F |
|
644 |
583 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
128 |
$0.00 |
| 99408 |
|
13 |
13 |
$0.00 |
| 3074F |
|
1,289 |
1,179 |
$0.00 |
| 3079F |
|
377 |
364 |
$0.00 |
| 96127 |
|
243 |
242 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
98 |
96 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
546 |
538 |
$0.00 |
| 3075F |
|
346 |
327 |
$0.00 |
| 99384 |
|
17 |
16 |
$0.00 |
| 1170F |
|
104 |
103 |
$0.00 |
| 1126F |
|
155 |
150 |
$0.00 |
| 3080F |
|
52 |
49 |
$0.00 |
| 3008F |
|
639 |
599 |
$0.00 |
| 86580 |
|
68 |
68 |
$0.00 |
| 1125F |
|
26 |
26 |
$0.00 |
| 91301 |
|
56 |
34 |
$0.00 |
| 93000 |
|
32 |
31 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |