| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,402 |
29,087 |
$2.11M |
| 99215 |
Prolong outpt/office vis |
2,881 |
2,682 |
$247K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,218 |
4,914 |
$239K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,331 |
1,309 |
$116K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,119 |
1,103 |
$95K |
| 93000 |
|
5,063 |
4,981 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
584 |
572 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
847 |
787 |
$52K |
| 36415 |
Collection of venous blood by venipuncture |
10,135 |
9,637 |
$34K |
| 81002 |
|
11,775 |
11,103 |
$31K |
| 81025 |
|
4,099 |
3,940 |
$26K |
| 99385 |
|
210 |
210 |
$20K |
| 99051 |
|
2,619 |
2,293 |
$20K |
| 96160 |
|
4,820 |
4,621 |
$17K |
| 94760 |
|
22,911 |
19,347 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
803 |
753 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
803 |
782 |
$10K |
| 99000 |
|
3,661 |
3,374 |
$9K |
| 99386 |
|
80 |
80 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
419 |
414 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
135 |
$3K |
| 90688 |
|
188 |
157 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
74 |
72 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
70 |
70 |
$2K |
| 99459 |
|
103 |
100 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$769.53 |
| 82962 |
|
375 |
336 |
$659.61 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$444.88 |
| 80305 |
|
60 |
55 |
$425.58 |
| 99401 |
|
14 |
14 |
$419.68 |
| 82947 |
|
129 |
107 |
$367.81 |
| 3008F |
|
14,554 |
11,806 |
$283.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
121 |
113 |
$194.47 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,431 |
5,426 |
$118.96 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
46 |
46 |
$94.43 |
| 1160F |
|
7,818 |
6,661 |
$88.21 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,501 |
3,742 |
$68.78 |
| 2010F |
|
12,930 |
10,533 |
$68.77 |
| 99173 |
|
25 |
25 |
$47.37 |
| 96127 |
|
19 |
19 |
$44.80 |
| 3078F |
|
8,648 |
7,229 |
$17.24 |
| 2000F |
|
13,876 |
11,163 |
$0.55 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
8,188 |
6,660 |
$0.51 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
8,138 |
6,625 |
$0.50 |
| 1126F |
|
5,317 |
4,522 |
$0.37 |
| 3037F |
|
13,808 |
11,086 |
$0.28 |
| 2001F |
|
12,657 |
10,351 |
$0.26 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
5,138 |
4,256 |
$0.26 |
| 1159F |
|
8,807 |
7,426 |
$0.19 |
| 3074F |
|
10,419 |
8,649 |
$0.17 |
| 3079F |
|
2,525 |
2,128 |
$0.08 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
3,229 |
2,651 |
$0.06 |
| G8732 |
No documentation of pain assessment, reason not given |
1,268 |
1,032 |
$0.05 |
| 1036F |
|
4,512 |
3,640 |
$0.05 |
| G8484 |
Influenza immunization was not administered, reason not given |
533 |
358 |
$0.05 |
| 3075F |
|
353 |
281 |
$0.04 |
| 2014F |
|
440 |
305 |
$0.03 |
| 1125F |
|
503 |
458 |
$0.01 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
326 |
208 |
$0.01 |
| 1034F |
|
732 |
551 |
$0.01 |
| 3061F |
|
15 |
15 |
$0.01 |
| G8421 |
Bmi not documented and no reason is given |
56 |
38 |
$0.01 |
| G8482 |
Influenza immunization administered or previously received |
13 |
12 |
$0.01 |
| 4010F |
|
34 |
27 |
$0.00 |
| 3120F |
|
235 |
227 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
14 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
150 |
135 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
65 |
34 |
$0.00 |
| 3080F |
|
99 |
73 |
$0.00 |
| 4037F |
|
17 |
16 |
$0.00 |
| 3035F |
|
30 |
30 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
17 |
15 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
97 |
90 |
$0.00 |
| 3077F |
|
151 |
132 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
80 |
65 |
$0.00 |
| 4040F |
|
133 |
118 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
58 |
55 |
$0.00 |