| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,239 |
35,468 |
$2.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,130 |
11,722 |
$1.28M |
| 99490 |
Ccm add 20min |
8,348 |
8,289 |
$364K |
| 99401 |
|
9,706 |
8,697 |
$267K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,396 |
2,390 |
$249K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,003 |
1,997 |
$194K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
4,405 |
3,818 |
$182K |
| 99487 |
Ccm add 20min |
2,346 |
2,332 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,567 |
1,565 |
$151K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,829 |
2,702 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
930 |
925 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,405 |
3,286 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
748 |
746 |
$65K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,174 |
4,515 |
$57K |
| 99385 |
|
517 |
516 |
$56K |
| 36415 |
Collection of venous blood by venipuncture |
17,278 |
16,772 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,894 |
1,833 |
$24K |
| 95924 |
|
225 |
224 |
$24K |
| 99386 |
|
172 |
172 |
$22K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,879 |
1,849 |
$21K |
| 95923 |
|
228 |
226 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
603 |
580 |
$19K |
| 93922 |
|
348 |
346 |
$16K |
| 96127 |
|
3,542 |
3,131 |
$16K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,070 |
1,046 |
$11K |
| 3079F |
|
1,795 |
1,644 |
$10K |
| 90686 |
|
916 |
913 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,611 |
1,606 |
$8K |
| 3075F |
|
1,318 |
1,226 |
$6K |
| 3078F |
|
1,482 |
1,328 |
$6K |
| 3074F |
|
1,371 |
1,252 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
114 |
111 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
56 |
$5K |
| 99384 |
|
43 |
43 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
564 |
560 |
$4K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
249 |
245 |
$4K |
| 92250 |
|
91 |
91 |
$4K |
| 90688 |
|
219 |
219 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
143 |
141 |
$3K |
| 99072 |
|
992 |
873 |
$2K |
| 99000 |
|
14,985 |
14,257 |
$2K |
| 1126F |
|
16,758 |
13,616 |
$2K |
| H0049 |
Alcohol and/or drug screening |
261 |
259 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
522 |
522 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 81002 |
|
973 |
922 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
51 |
51 |
$2K |
| 90461 |
|
132 |
132 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
118 |
115 |
$1K |
| 90672 |
|
336 |
336 |
$1K |
| 1159F |
|
19,710 |
15,531 |
$1K |
| 1160F |
|
20,794 |
16,378 |
$1K |
| 3077F |
|
897 |
828 |
$1K |
| 0064A |
|
32 |
32 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
145 |
140 |
$1K |
| S9452 |
Nutrition classes, non-physician provider, per session |
528 |
528 |
$981.50 |
| S9449 |
Weight management classes, non-physician provider, per session |
527 |
527 |
$867.00 |
| 0012A |
|
24 |
24 |
$858.20 |
| 3044F |
|
322 |
317 |
$757.59 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
40 |
40 |
$748.50 |
| 0011A |
|
19 |
19 |
$623.71 |
| 86580 |
|
83 |
75 |
$492.98 |
| 3080F |
|
275 |
255 |
$487.50 |
| S9470 |
Nutritional counseling, dietitian visit |
462 |
462 |
$467.50 |
| 93000 |
|
28 |
26 |
$353.71 |
| 97803 |
|
40 |
39 |
$336.70 |
| 81025 |
|
85 |
83 |
$311.40 |
| 90658 |
|
53 |
53 |
$302.00 |
| 1125F |
|
4,292 |
3,839 |
$292.76 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
182 |
181 |
$157.98 |
| 90734 |
|
31 |
31 |
$150.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$100.60 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
56 |
55 |
$78.79 |
| 97802 |
|
317 |
306 |
$61.14 |
| 94760 |
|
256 |
254 |
$58.55 |
| 90656 |
|
13 |
13 |
$45.88 |
| 90715 |
|
13 |
13 |
$38.68 |
| 91306 |
|
25 |
25 |
$24.46 |
| 3008F |
|
15,342 |
12,944 |
$0.94 |
| 3050F |
|
256 |
253 |
$0.02 |
| 3051F |
|
16 |
16 |
$0.01 |
| 3049F |
|
245 |
242 |
$0.01 |
| 4013F |
|
884 |
758 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
51 |
50 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
33 |
12 |
$0.00 |
| 0521F |
|
12 |
12 |
$0.00 |
| 99058 |
|
554 |
526 |
$0.00 |
| 3017F |
|
45 |
43 |
$0.00 |
| 1036F |
|
137 |
133 |
$0.00 |
| 91301 |
|
47 |
47 |
$0.00 |
| 2010F |
|
26 |
26 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
33 |
12 |
$0.00 |
| 97010 |
|
33 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
40 |
39 |
$0.00 |