| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
2,946 |
2,926 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,983 |
11,016 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,895 |
1,864 |
$18K |
| 90686 |
|
993 |
985 |
$15K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
884 |
883 |
$10K |
| 99188 |
|
393 |
392 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,445 |
3,230 |
$6K |
| 88141 |
|
95 |
56 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,459 |
1,427 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
419 |
412 |
$2K |
| G9920 |
Screening performed and negative |
1,686 |
1,682 |
$947.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,014 |
1,009 |
$907.44 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,975 |
1,843 |
$893.81 |
| 90670 |
|
131 |
131 |
$785.07 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
107 |
$703.97 |
| 90715 |
|
16 |
16 |
$630.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
529 |
513 |
$471.85 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
504 |
501 |
$417.97 |
| 90662 |
|
14 |
14 |
$406.44 |
| 97803 |
|
713 |
709 |
$310.15 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$129.75 |
| 99406 |
|
1,463 |
1,444 |
$89.69 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
139 |
139 |
$48.50 |
| 90680 |
|
41 |
41 |
$44.91 |
| 90698 |
|
50 |
50 |
$44.91 |
| 90744 |
|
12 |
12 |
$18.00 |
| 90651 |
|
26 |
26 |
$17.82 |
| 90633 |
|
61 |
61 |
$17.82 |
| 3074F |
|
927 |
892 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,858 |
1,850 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
224 |
222 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
352 |
349 |
$0.00 |
| 1036F |
|
737 |
725 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
278 |
217 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
344 |
340 |
$0.00 |
| 1220F |
|
960 |
861 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
379 |
341 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
574 |
553 |
$0.00 |
| 87070 |
|
13 |
13 |
$0.00 |
| 3080F |
|
18 |
18 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 3044F |
|
42 |
37 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
43 |
39 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
411 |
405 |
$0.00 |
| 3079F |
|
199 |
194 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
27 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
31 |
29 |
$0.00 |
| 86592 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 80061 |
Lipid panel |
344 |
342 |
$0.00 |
| 90461 |
|
425 |
415 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
70 |
70 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
684 |
659 |
$0.00 |
| 3078F |
|
690 |
663 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
135 |
118 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
95 |
$0.00 |
| 99173 |
|
621 |
616 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$0.00 |
| 3077F |
|
38 |
38 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
35 |
35 |
$0.00 |
| 81003 |
|
39 |
39 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
31 |
29 |
$0.00 |
| 4004F |
|
67 |
67 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
24 |
24 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 80074 |
|
13 |
13 |
$0.00 |