| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,388 |
21,170 |
$1.98M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,993 |
24,018 |
$1.61M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,886 |
4,867 |
$417K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,737 |
3,724 |
$352K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,930 |
1,924 |
$162K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,990 |
1,985 |
$151K |
| 99385 |
|
968 |
962 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
955 |
953 |
$73K |
| 90682 |
|
857 |
851 |
$38K |
| 99386 |
|
316 |
313 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
777 |
766 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,545 |
1,520 |
$14K |
| 92250 |
|
451 |
438 |
$12K |
| 90686 |
|
757 |
755 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,285 |
1,280 |
$12K |
| 99383 |
|
128 |
128 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
163 |
156 |
$11K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
380 |
378 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
369 |
367 |
$8K |
| 99384 |
|
54 |
54 |
$5K |
| 99382 |
|
34 |
34 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
35 |
$2K |
| 99490 |
Ccm add 20min |
40 |
40 |
$1K |
| 99381 |
|
12 |
12 |
$965.87 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$665.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$255.50 |
| 86580 |
|
27 |
27 |
$139.83 |
| G0008 |
Administration of influenza virus vaccine |
44 |
43 |
$16.13 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,641 |
1,617 |
$15.51 |
| 3078F |
|
6,819 |
6,634 |
$11.65 |
| 3074F |
|
5,892 |
5,761 |
$11.28 |
| 3079F |
|
5,302 |
5,156 |
$9.16 |
| 3077F |
|
4,063 |
3,888 |
$6.98 |
| 3075F |
|
4,068 |
3,973 |
$6.81 |
| 4000F |
|
46 |
46 |
$6.25 |
| 3080F |
|
1,845 |
1,772 |
$4.11 |
| 3050F |
|
942 |
913 |
$3.08 |
| 3049F |
|
796 |
779 |
$2.66 |
| 3060F |
|
1,752 |
1,676 |
$1.10 |
| 3511F |
|
275 |
269 |
$0.43 |
| 4010F |
|
92 |
91 |
$0.13 |
| 3351F |
|
121 |
121 |
$0.04 |
| 3051F |
|
13 |
12 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
28 |
$0.03 |
| 3353F |
|
87 |
87 |
$0.03 |
| 1034F |
|
14 |
13 |
$0.02 |
| 3352F |
|
111 |
111 |
$0.01 |
| 3046F |
|
692 |
640 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
42 |
42 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
26 |
26 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |
| 3008F |
|
1,045 |
1,044 |
$0.00 |
| 3044F |
|
936 |
910 |
$0.00 |
| 1036F |
|
18 |
18 |
$0.00 |
| 3061F |
|
48 |
48 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |