| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,606 |
26,336 |
$2.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,963 |
11,968 |
$1.83M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,042 |
5,040 |
$664K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,919 |
2,917 |
$356K |
| 92552 |
|
9,679 |
9,673 |
$315K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,266 |
4,972 |
$284K |
| 99215 |
Prolong outpt/office vis |
763 |
697 |
$117K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,018 |
4,967 |
$86K |
| 93000 |
|
3,927 |
3,907 |
$62K |
| 90686 |
|
2,804 |
2,804 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
363 |
362 |
$42K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,021 |
7,020 |
$39K |
| 96127 |
|
8,392 |
8,375 |
$31K |
| 90688 |
|
1,338 |
1,337 |
$25K |
| 94010 |
|
428 |
428 |
$14K |
| 0012A |
|
353 |
353 |
$14K |
| 0011A |
|
367 |
367 |
$12K |
| 82274 |
|
884 |
861 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
12,578 |
12,398 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
463 |
458 |
$8K |
| 0013A |
|
145 |
145 |
$6K |
| 99442 |
|
81 |
78 |
$5K |
| 99401 |
|
141 |
123 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
311 |
291 |
$4K |
| 90656 |
|
208 |
208 |
$4K |
| 90756 |
|
168 |
168 |
$4K |
| 3078F |
|
1,279 |
1,154 |
$3K |
| 3079F |
|
921 |
852 |
$3K |
| 90750 |
|
13 |
13 |
$3K |
| 3074F |
|
927 |
862 |
$3K |
| 3075F |
|
814 |
763 |
$2K |
| 87071 |
|
757 |
753 |
$2K |
| 90658 |
|
57 |
57 |
$819.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
50 |
$760.77 |
| G0008 |
Administration of influenza virus vaccine |
46 |
46 |
$716.41 |
| 90674 |
|
44 |
44 |
$585.94 |
| 99051 |
|
156 |
146 |
$537.06 |
| 99173 |
|
778 |
776 |
$486.16 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
29 |
29 |
$485.74 |
| 3077F |
|
214 |
192 |
$397.50 |
| 83014 |
|
27 |
26 |
$196.50 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$189.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$187.90 |
| 90461 |
|
14 |
14 |
$120.96 |
| 86580 |
|
12 |
12 |
$102.26 |
| 3044F |
|
13 |
13 |
$60.00 |
| 91306 |
|
139 |
139 |
$32.54 |
| 3080F |
|
14 |
14 |
$17.50 |
| G9275 |
Documentation that patient is a current non-tobacco user |
391 |
391 |
$2.00 |
| 3050F |
|
798 |
795 |
$0.00 |
| 3725F |
|
1,616 |
1,616 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
240 |
240 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
59 |
59 |
$0.00 |
| 90734 |
|
38 |
38 |
$0.00 |
| 1032F |
|
29 |
29 |
$0.00 |
| 1000F |
|
359 |
359 |
$0.00 |
| 3049F |
|
940 |
938 |
$0.00 |
| 3048F |
|
616 |
614 |
$0.00 |
| 99000 |
|
690 |
683 |
$0.00 |
| 1036F |
|
306 |
306 |
$0.00 |
| 4010F |
|
27 |
24 |
$0.00 |
| 3061F |
|
53 |
53 |
$0.00 |