| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,139 |
41,622 |
$7.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,386 |
5,088 |
$668K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,096 |
3,096 |
$408K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,127 |
2,127 |
$261K |
| 92552 |
|
7,706 |
7,696 |
$250K |
| 99401 |
|
8,444 |
8,277 |
$189K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,108 |
1,108 |
$134K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,693 |
5,779 |
$124K |
| 99051 |
|
22,683 |
16,548 |
$121K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,648 |
5,370 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
773 |
773 |
$84K |
| 94010 |
|
2,052 |
2,052 |
$67K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12,279 |
11,516 |
$56K |
| H0001 |
Alcohol and/or drug assessment |
6,854 |
6,853 |
$43K |
| 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 |
7,397 |
7,390 |
$43K |
| 90686 |
|
3,656 |
3,651 |
$40K |
| 93000 |
|
2,283 |
2,274 |
$35K |
| 90746 |
|
403 |
403 |
$28K |
| 90715 |
|
555 |
555 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
200 |
199 |
$24K |
| 90688 |
|
1,141 |
1,141 |
$24K |
| S9449 |
Weight management classes, non-physician provider, per session |
6,848 |
6,847 |
$19K |
| S9451 |
Exercise classes, non-physician provider, per session |
6,844 |
6,843 |
$19K |
| 99406 |
|
748 |
729 |
$11K |
| 90651 |
|
245 |
245 |
$10K |
| 90756 |
|
364 |
364 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
10,192 |
9,401 |
$5K |
| 90658 |
|
247 |
247 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
231 |
151 |
$5K |
| 0011A |
|
73 |
73 |
$3K |
| 0012A |
|
72 |
72 |
$3K |
| 90656 |
|
321 |
321 |
$3K |
| 97802 |
|
6,816 |
6,808 |
$2K |
| 83014 |
|
288 |
287 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
98 |
98 |
$2K |
| 90716 |
|
158 |
158 |
$2K |
| 90461 |
|
55 |
52 |
$2K |
| 0031A |
|
38 |
38 |
$2K |
| 86580 |
|
176 |
158 |
$1K |
| 90707 |
|
63 |
63 |
$993.95 |
| 3078F |
|
361 |
343 |
$854.69 |
| 3074F |
|
301 |
288 |
$729.69 |
| 90744 |
|
381 |
381 |
$506.18 |
| 90621 |
|
37 |
37 |
$400.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
9,087 |
8,546 |
$395.50 |
| 90672 |
|
33 |
33 |
$322.56 |
| 99490 |
Ccm add 20min |
75 |
75 |
$266.80 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,097 |
1,092 |
$108.50 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,293 |
1,234 |
$87.50 |
| H0049 |
Alcohol and/or drug screening |
124 |
124 |
$20.00 |
| 4037F |
|
1,751 |
1,749 |
$10.55 |
| 91301 |
|
145 |
145 |
$4.20 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,371 |
2,370 |
$3.60 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,362 |
1,361 |
$2.00 |
| 3008F |
|
6,744 |
6,269 |
$0.19 |
| 91303 |
|
35 |
35 |
$0.12 |
| 3725F |
|
6,727 |
6,299 |
$0.00 |
| 3016F |
|
6,072 |
5,693 |
$0.00 |
| 3050F |
|
237 |
234 |
$0.00 |
| 3015F |
|
325 |
324 |
$0.00 |
| 2028F |
|
68 |
65 |
$0.00 |
| 99173 |
|
68 |
68 |
$0.00 |
| 4013F |
|
124 |
118 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 3017F |
|
438 |
437 |
$0.00 |
| 1000F |
|
3,732 |
3,732 |
$0.00 |
| 3049F |
|
317 |
317 |
$0.00 |
| 3014F |
|
74 |
74 |
$0.00 |
| 4010F |
|
25 |
25 |
$0.00 |
| 3048F |
|
25 |
25 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |