| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
4,989 |
4,880 |
$88K |
| 90670 |
|
198 |
197 |
$46K |
| 99429 |
|
622 |
617 |
$42K |
| 90736 |
|
254 |
254 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,089 |
4,809 |
$21K |
| 90662 |
|
507 |
506 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,148 |
1,142 |
$6K |
| 90658 |
|
476 |
474 |
$4K |
| 99385 |
|
364 |
364 |
$3K |
| 90686 |
|
272 |
270 |
$3K |
| 90688 |
|
243 |
233 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
143 |
143 |
$3K |
| G9919 |
Screening performed and positive and provision of recommendations |
218 |
215 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
186 |
185 |
$1K |
| 36410 |
|
3,033 |
3,014 |
$1K |
| 99386 |
|
245 |
245 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,428 |
2,367 |
$873.50 |
| 0013A |
|
67 |
65 |
$440.00 |
| 99397 |
|
615 |
612 |
$392.13 |
| 1126F |
|
669 |
595 |
$250.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
167 |
159 |
$114.80 |
| 0094A |
|
35 |
35 |
$80.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
21 |
12 |
$15.00 |
| 3077F |
|
1,486 |
1,387 |
$0.00 |
| 1160F |
|
1,238 |
1,071 |
$0.00 |
| 1159F |
|
1,238 |
1,072 |
$0.00 |
| 3078F |
|
3,153 |
2,996 |
$0.00 |
| 96160 |
|
379 |
377 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
689 |
590 |
$0.00 |
| 3074F |
|
2,367 |
2,278 |
$0.00 |
| 1157F |
|
824 |
787 |
$0.00 |
| 3079F |
|
1,033 |
987 |
$0.00 |
| 1170F |
|
1,234 |
1,069 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
229 |
229 |
$0.00 |
| 3075F |
|
534 |
510 |
$0.00 |
| 99443 |
|
38 |
38 |
$0.00 |
| 3080F |
|
156 |
144 |
$0.00 |
| 90677 |
|
33 |
33 |
$0.00 |
| 1125F |
|
91 |
69 |
$0.00 |
| 96156 |
|
38 |
38 |
$0.00 |
| 91301 |
|
20 |
20 |
$0.00 |