| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
4,330 |
4,310 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,103 |
25,517 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
106 |
103 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,931 |
19,917 |
$2K |
| G9920 |
Screening performed and negative |
10,150 |
9,981 |
$1K |
| 97802 |
|
18,989 |
16,849 |
$824.85 |
| 90686 |
|
63 |
63 |
$768.98 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
11,538 |
10,377 |
$479.86 |
| 88150 |
|
14 |
14 |
$420.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,115 |
1,057 |
$384.10 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12,740 |
12,332 |
$67.28 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14,581 |
14,151 |
$64.64 |
| 99408 |
|
13,190 |
12,970 |
$62.48 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,761 |
10,605 |
$55.68 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
156 |
153 |
$50.00 |
| 88141 |
|
237 |
233 |
$50.00 |
| 90656 |
|
15 |
15 |
$45.00 |
| 85018 |
|
1,972 |
1,965 |
$25.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
485 |
473 |
$10.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
935 |
925 |
$9.15 |
| 83655 |
|
492 |
492 |
$5.26 |
| 81003 |
|
2,035 |
2,031 |
$2.93 |
| 98960 |
|
25,543 |
22,082 |
$0.10 |
| 1160F |
|
35,489 |
31,079 |
$0.00 |
| 2014F |
|
13,764 |
13,559 |
$0.00 |
| 3078F |
|
14,729 |
13,834 |
$0.00 |
| 96160 |
|
8,712 |
8,540 |
$0.00 |
| 99173 |
|
104 |
104 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,913 |
2,886 |
$0.00 |
| 1159F |
|
35,616 |
31,184 |
$0.00 |
| 97803 |
|
1,798 |
1,743 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
231 |
219 |
$0.00 |
| 81002 |
|
1,405 |
1,385 |
$0.00 |
| 4004F |
|
464 |
451 |
$0.00 |
| 3077F |
|
1,268 |
1,169 |
$0.00 |
| 3050F |
|
1,254 |
1,183 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
180 |
179 |
$0.00 |
| 82947 |
|
549 |
507 |
$0.00 |
| 3051F |
|
61 |
57 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
911 |
847 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
192 |
192 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 99188 |
|
26 |
26 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
19 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 82948 |
|
28 |
28 |
$0.00 |
| 1158F |
|
51 |
51 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
122 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
145 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$0.00 |
| 82274 |
|
143 |
142 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| G9365 |
One high-risk medication ordered |
13 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
13,024 |
12,828 |
$0.00 |
| 1220F |
|
13,159 |
12,957 |
$0.00 |
| 3044F |
|
6,035 |
5,807 |
$0.00 |
| 3008F |
|
47,645 |
41,319 |
$0.00 |
| 1126F |
|
26,934 |
23,828 |
$0.00 |
| 3080F |
|
696 |
653 |
$0.00 |
| 3075F |
|
5,637 |
5,327 |
$0.00 |
| 96127 |
|
1,439 |
1,409 |
$0.00 |
| 3049F |
|
1,630 |
1,532 |
$0.00 |
| 1036F |
|
6,648 |
6,530 |
$0.00 |
| 3074F |
|
15,539 |
14,569 |
$0.00 |
| 94760 |
|
1,557 |
1,496 |
$0.00 |
| 3079F |
|
7,295 |
6,877 |
$0.00 |
| 99172 |
|
4,054 |
4,035 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
708 |
706 |
$0.00 |
| 3048F |
|
2,895 |
2,753 |
$0.00 |
| 1125F |
|
4,302 |
3,940 |
$0.00 |
| M1003 |
Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy |
1,599 |
1,598 |
$0.00 |
| 99496 |
|
1,162 |
1,005 |
$0.00 |
| 3014F |
|
679 |
668 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,838 |
1,810 |
$0.00 |
| 1111F |
|
1,703 |
1,546 |
$0.00 |
| 99495 |
|
19 |
17 |
$0.00 |
| 99406 |
|
651 |
626 |
$0.00 |
| 81000 |
|
289 |
289 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
83 |
83 |
$0.00 |
| 3017F |
|
519 |
513 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
183 |
182 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
145 |
145 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
85 |
78 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
24 |
24 |
$0.00 |
| G9367 |
At least two orders for high-risk medications from the same drug class |
13 |
12 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
47 |
46 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |
| 3052F |
|
43 |
42 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| 82043 |
|
86 |
86 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |