| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,268 |
46,606 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,517 |
15,110 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,057 |
2,025 |
$24K |
| 3074F |
|
25,027 |
23,580 |
$18K |
| 3008F |
|
34,545 |
32,139 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,462 |
1,447 |
$7K |
| 3075F |
|
5,806 |
5,645 |
$7K |
| 1036F |
|
6,606 |
6,106 |
$6K |
| 1125F |
|
7,207 |
6,848 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,286 |
1,281 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,724 |
4,313 |
$5K |
| 3077F |
|
8,031 |
7,729 |
$5K |
| 99442 |
|
913 |
843 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16,773 |
15,204 |
$5K |
| 1126F |
|
5,881 |
5,658 |
$3K |
| 1000F |
|
1,983 |
1,805 |
$3K |
| 1159F |
|
2,382 |
2,192 |
$2K |
| 3078F |
|
21,522 |
20,350 |
$2K |
| 3079F |
|
12,427 |
11,996 |
$2K |
| 92552 |
|
2,049 |
2,017 |
$2K |
| 1170F |
|
7,206 |
6,818 |
$1K |
| 1034F |
|
1,456 |
1,381 |
$1K |
| 80305 |
|
1,341 |
1,212 |
$1K |
| 1158F |
|
7,932 |
7,369 |
$1K |
| 3080F |
|
4,886 |
4,714 |
$940.04 |
| 64484 |
|
142 |
63 |
$870.18 |
| 99383 |
|
128 |
126 |
$861.90 |
| 3044F |
|
3,978 |
3,737 |
$854.71 |
| 97802 |
|
2,840 |
2,812 |
$680.89 |
| 90674 |
|
617 |
616 |
$673.03 |
| 96127 |
|
14,164 |
12,765 |
$663.19 |
| 72275 |
|
141 |
102 |
$633.24 |
| D0120 |
Periodic oral evaluation - established patient |
1,156 |
1,145 |
$512.08 |
| 99173 |
|
1,978 |
1,964 |
$467.74 |
| 1101F |
|
462 |
427 |
$446.68 |
| 64483 |
|
147 |
70 |
$426.39 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
369 |
368 |
$411.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,789 |
2,738 |
$411.74 |
| 99385 |
|
359 |
359 |
$381.31 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
472 |
471 |
$378.92 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
986 |
887 |
$348.52 |
| 3725F |
|
3,191 |
2,839 |
$344.91 |
| 83026 |
|
717 |
697 |
$313.93 |
| 86328 |
|
45 |
45 |
$242.13 |
| 99401 |
|
2,651 |
2,633 |
$239.54 |
| 4004F |
|
2,043 |
1,943 |
$220.35 |
| 90658 |
|
90 |
89 |
$170.21 |
| 99406 |
|
523 |
510 |
$168.22 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
40 |
22 |
$162.31 |
| 4010F |
|
583 |
529 |
$153.18 |
| 92250 |
|
53 |
53 |
$153.09 |
| 93000 |
|
46 |
46 |
$152.03 |
| 72100 |
|
29 |
29 |
$145.42 |
| 96156 |
|
1,838 |
1,718 |
$141.96 |
| 1160F |
|
1,809 |
1,635 |
$133.08 |
| 90633 |
|
125 |
120 |
$117.00 |
| 73560 |
|
19 |
13 |
$83.61 |
| 90715 |
|
83 |
83 |
$72.00 |
| 90461 |
|
476 |
424 |
$71.86 |
| 99386 |
|
291 |
289 |
$66.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13,619 |
12,390 |
$65.18 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
40 |
$63.56 |
| 3014F |
|
414 |
375 |
$58.92 |
| 81025 |
|
50 |
49 |
$45.98 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,198 |
2,181 |
$44.52 |
| 3017F |
|
766 |
703 |
$43.58 |
| 2023F |
|
190 |
174 |
$29.67 |
| 90686 |
|
102 |
101 |
$27.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
273 |
273 |
$23.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
545 |
536 |
$14.49 |
| 90713 |
|
20 |
19 |
$9.00 |
| 90710 |
|
43 |
43 |
$9.00 |
| 90744 |
|
17 |
17 |
$9.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
387 |
328 |
$6.86 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
648 |
643 |
$4.95 |
| 85018 |
|
1,454 |
1,445 |
$4.12 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,103 |
2,782 |
$1.64 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,111 |
1,096 |
$0.06 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
25 |
25 |
$0.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,234 |
1,712 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 2028F |
|
441 |
435 |
$0.00 |
| 0521F |
|
3,406 |
3,364 |
$0.00 |
| 4013F |
|
644 |
571 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
527 |
523 |
$0.00 |
| 1137F |
|
15 |
15 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
39 |
35 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,219 |
1,197 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
201 |
198 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
72 |
70 |
$0.00 |
| 3051F |
|
43 |
38 |
$0.00 |
| 3015F |
|
718 |
636 |
$0.00 |
| 81002 |
|
402 |
395 |
$0.00 |
| 2022F |
|
135 |
134 |
$0.00 |
| 3288F |
|
361 |
335 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
377 |
376 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
153 |
138 |
$0.00 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
73 |
73 |
$0.00 |
| 3050F |
|
329 |
301 |
$0.00 |
| 3089F |
|
16 |
12 |
$0.00 |
| 90734 |
|
51 |
51 |
$0.00 |
| 90863 |
|
115 |
109 |
$0.00 |
| 3045F |
|
42 |
41 |
$0.00 |
| 99605 |
|
39 |
38 |
$0.00 |
| 4040F |
|
12 |
12 |
$0.00 |
| 91300 |
|
60 |
54 |
$0.00 |
| 1124F |
|
96 |
96 |
$0.00 |
| 1040F |
|
67 |
67 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 3046F |
|
20 |
18 |
$0.00 |
| 99382 |
|
36 |
35 |
$0.00 |
| 3088F |
|
41 |
37 |
$0.00 |
| 3511F |
|
24 |
24 |
$0.00 |
| 83037 |
|
14 |
13 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
595 |
570 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
850 |
787 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
260 |
$0.00 |
| 3048F |
|
516 |
478 |
$0.00 |
| 1220F |
|
2,787 |
2,741 |
$0.00 |
| 3049F |
|
400 |
361 |
$0.00 |
| 20610 |
|
24 |
15 |
$0.00 |
| 90651 |
|
75 |
75 |
$0.00 |
| 4210F |
|
241 |
236 |
$0.00 |
| 99606 |
|
430 |
429 |
$0.00 |
| 90688 |
|
269 |
267 |
$0.00 |
| 4050F |
|
421 |
413 |
$0.00 |
| 4305F |
|
200 |
197 |
$0.00 |
| 99443 |
|
140 |
135 |
$0.00 |
| 2033F |
|
29 |
28 |
$0.00 |
| 3351F |
|
90 |
90 |
$0.00 |
| 91301 |
|
15 |
13 |
$0.00 |
| 1123F |
|
36 |
36 |
$0.00 |
| 99384 |
|
36 |
36 |
$0.00 |
| 90620 |
|
16 |
16 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
32 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
272 |
250 |
$0.00 |
| 3061F |
|
43 |
42 |
$0.00 |
| 92551 |
|
19 |
19 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
36 |
27 |
$0.00 |