| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,056 |
18,734 |
$1.90M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,434 |
6,236 |
$1.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,384 |
7,138 |
$1.05M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,559 |
2,558 |
$328K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,068 |
2,986 |
$304K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,239 |
2,027 |
$275K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,421 |
2,367 |
$238K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,113 |
2,110 |
$223K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,774 |
6,566 |
$219K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,359 |
1,359 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,110 |
1,110 |
$120K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
618 |
618 |
$110K |
| 90651 |
|
457 |
457 |
$107K |
| 76801 |
|
621 |
611 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
390 |
390 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
396 |
393 |
$46K |
| 59025 |
Fetal non-stress test |
415 |
250 |
$21K |
| 99386 |
|
134 |
134 |
$21K |
| 99385 |
|
146 |
146 |
$19K |
| 76830 |
Ultrasound, transvaginal |
168 |
166 |
$18K |
| 99381 |
|
167 |
167 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
893 |
874 |
$16K |
| 92551 |
|
1,349 |
1,348 |
$13K |
| 81025 |
|
1,526 |
1,502 |
$11K |
| 76818 |
|
35 |
26 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
25 |
25 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,328 |
3,222 |
$3K |
| 87210 |
|
566 |
549 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
102 |
101 |
$2K |
| 83655 |
|
319 |
318 |
$2K |
| 99173 |
|
1,595 |
1,594 |
$2K |
| 90670 |
|
1,517 |
1,516 |
$2K |
| 99460 |
|
14 |
14 |
$1K |
| 90686 |
|
1,698 |
1,696 |
$1K |
| 90715 |
|
27 |
27 |
$1K |
| 97802 |
|
203 |
199 |
$618.54 |
| 81002 |
|
193 |
189 |
$419.92 |
| 90685 |
|
1,136 |
1,135 |
$381.07 |
| 90633 |
|
539 |
539 |
$60.00 |
| 90680 |
|
1,254 |
1,253 |
$30.00 |
| 90698 |
|
1,181 |
1,180 |
$30.00 |
| 90716 |
|
411 |
411 |
$30.00 |
| 90648 |
|
227 |
227 |
$30.00 |
| H0001 |
Alcohol and/or drug assessment |
3,837 |
3,834 |
$19.07 |
| 90723 |
|
65 |
65 |
$15.00 |
| 90700 |
|
334 |
334 |
$15.00 |
| 90707 |
|
519 |
519 |
$15.00 |
| 90681 |
|
28 |
28 |
$15.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
168 |
166 |
$0.66 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
52 |
52 |
$0.46 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,762 |
3,759 |
$0.31 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
2,841 |
2,840 |
$0.28 |
| 3078F |
|
1,464 |
1,462 |
$0.25 |
| 3074F |
|
1,575 |
1,572 |
$0.23 |
| G9821 |
No documentation of a chlamydia screening test with proper follow-up |
540 |
540 |
$0.04 |
| 3008F |
|
970 |
969 |
$0.00 |
| 1036F |
|
1,789 |
1,787 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,082 |
2,081 |
$0.00 |
| 90744 |
|
883 |
881 |
$0.00 |
| 1000F |
|
1,852 |
1,849 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
819 |
819 |
$0.00 |
| 3015F |
|
1,838 |
1,835 |
$0.00 |
| 3016F |
|
1,843 |
1,840 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
208 |
208 |
$0.00 |
| 3725F |
|
41 |
41 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90672 |
|
14 |
14 |
$0.00 |