| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,135 |
10,067 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,429 |
1,421 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,164 |
1,112 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,474 |
3,224 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
865 |
861 |
$14K |
| 92551 |
|
3,779 |
3,772 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,823 |
3,785 |
$10K |
| 90651 |
|
444 |
438 |
$10K |
| 90658 |
|
1,987 |
1,969 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
762 |
762 |
$8K |
| 88143 |
|
531 |
531 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
519 |
519 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,504 |
1,495 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,047 |
5,041 |
$4K |
| 97802 |
|
5,200 |
5,191 |
$4K |
| 99173 |
|
3,422 |
3,415 |
$3K |
| 85018 |
|
4,619 |
4,492 |
$3K |
| 3074F |
|
10,085 |
8,971 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
98 |
98 |
$3K |
| 3078F |
|
9,330 |
8,362 |
$2K |
| 90734 |
|
453 |
451 |
$2K |
| 99000 |
|
6,285 |
5,938 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
597 |
597 |
$2K |
| 0054A |
|
41 |
41 |
$2K |
| 81002 |
|
4,208 |
4,184 |
$2K |
| 90620 |
|
223 |
222 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$1K |
| 92552 |
|
179 |
178 |
$900.60 |
| 3008F |
|
12,582 |
11,033 |
$758.00 |
| 2000F |
|
10,612 |
9,263 |
$686.89 |
| 2001F |
|
10,615 |
9,263 |
$613.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
520 |
520 |
$490.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,300 |
5,094 |
$456.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
398 |
389 |
$427.15 |
| 87110 |
|
1,089 |
1,087 |
$426.06 |
| 90715 |
|
58 |
58 |
$407.00 |
| 96127 |
|
827 |
827 |
$368.52 |
| 93000 |
|
136 |
136 |
$359.64 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$309.06 |
| 2010F |
|
10,577 |
9,240 |
$303.00 |
| 96156 |
|
54 |
54 |
$297.03 |
| 87590 |
|
1,083 |
1,081 |
$294.30 |
| 3077F |
|
1,016 |
932 |
$222.54 |
| 90633 |
|
38 |
38 |
$171.00 |
| 1124F |
|
497 |
497 |
$160.00 |
| 3015F |
|
534 |
534 |
$160.00 |
| 86703 |
|
753 |
753 |
$152.86 |
| 86592 |
|
707 |
707 |
$127.37 |
| 1158F |
|
1,485 |
1,484 |
$124.00 |
| 3079F |
|
2,268 |
2,083 |
$110.20 |
| S9449 |
Weight management classes, non-physician provider, per session |
3,320 |
3,315 |
$97.55 |
| 90621 |
|
74 |
74 |
$93.00 |
| 3075F |
|
626 |
606 |
$89.77 |
| 3511F |
|
1,141 |
1,138 |
$80.00 |
| 3044F |
|
285 |
285 |
$80.00 |
| 87070 |
|
118 |
118 |
$73.35 |
| 90710 |
|
17 |
17 |
$72.00 |
| 82465 |
|
103 |
103 |
$67.34 |
| 82947 |
|
190 |
190 |
$60.80 |
| 86580 |
|
13 |
13 |
$28.87 |
| 90686 |
|
22 |
22 |
$27.00 |
| 3512F |
|
1,087 |
1,084 |
$20.87 |
| S9451 |
Exercise classes, non-physician provider, per session |
522 |
522 |
$0.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
480 |
478 |
$0.05 |
| 96160 |
|
111 |
111 |
$0.04 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
517 |
509 |
$0.01 |
| 3210F |
|
100 |
100 |
$0.00 |
| 1160F |
|
61 |
61 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
199 |
186 |
$0.00 |
| 3725F |
|
133 |
133 |
$0.00 |
| 1159F |
|
59 |
59 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
200 |
187 |
$0.00 |
| 97803 |
|
401 |
368 |
$0.00 |
| 0521F |
|
16 |
16 |
$0.00 |
| 98966 |
|
57 |
53 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
35 |
34 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
17 |
17 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$0.00 |
| 4037F |
|
52 |
51 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
48 |
47 |
$0.00 |
| 3080F |
|
128 |
122 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
198 |
185 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
17 |
17 |
$0.00 |
| 82270 |
|
17 |
17 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |
| 3017F |
|
17 |
17 |
$0.00 |