| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,761 |
13,318 |
$65K |
| G9920 |
Screening performed and negative |
1,482 |
1,221 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
975 |
739 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,445 |
1,355 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,483 |
1,405 |
$12K |
| 92551 |
|
4,040 |
4,006 |
$12K |
| 96156 |
|
353 |
351 |
$9K |
| 96160 |
|
280 |
280 |
$8K |
| 96161 |
|
181 |
178 |
$8K |
| 99173 |
|
3,888 |
3,860 |
$6K |
| H0049 |
Alcohol and/or drug screening |
199 |
195 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,425 |
1,414 |
$4K |
| 99460 |
|
69 |
67 |
$3K |
| 99381 |
|
146 |
143 |
$3K |
| 90461 |
|
84 |
78 |
$3K |
| 85018 |
|
566 |
565 |
$2K |
| 99188 |
|
64 |
64 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
264 |
263 |
$2K |
| 88141 |
|
34 |
31 |
$2K |
| 99462 |
|
56 |
41 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
529 |
519 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,347 |
1,334 |
$810.70 |
| 3078F |
|
17 |
15 |
$800.00 |
| 3074F |
|
17 |
15 |
$800.00 |
| 90670 |
|
684 |
670 |
$783.20 |
| 90715 |
|
323 |
310 |
$688.55 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
737 |
731 |
$656.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$600.00 |
| 90707 |
|
250 |
244 |
$530.29 |
| 90688 |
|
65 |
36 |
$529.92 |
| 99383 |
|
29 |
29 |
$477.68 |
| 81002 |
|
3,040 |
2,961 |
$466.76 |
| 90651 |
|
331 |
325 |
$449.82 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
39 |
38 |
$420.00 |
| 90716 |
|
254 |
249 |
$393.36 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
13 |
$390.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
204 |
$367.56 |
| 90734 |
|
318 |
317 |
$244.24 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
374 |
365 |
$227.42 |
| 17110 |
|
72 |
59 |
$217.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
572 |
522 |
$184.51 |
| 90710 |
|
339 |
337 |
$180.00 |
| 93000 |
|
200 |
197 |
$173.61 |
| 99307 |
|
12 |
12 |
$140.29 |
| 99382 |
|
14 |
13 |
$97.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,570 |
2,515 |
$96.41 |
| 90744 |
|
13 |
12 |
$72.00 |
| 94760 |
|
1,165 |
1,164 |
$47.52 |
| 90648 |
|
676 |
664 |
$27.00 |
| 90680 |
|
299 |
293 |
$18.80 |
| 90723 |
|
302 |
295 |
$18.00 |
| 86580 |
|
55 |
53 |
$17.97 |
| 90686 |
|
432 |
411 |
$17.66 |
| 90713 |
|
152 |
148 |
$9.00 |
| 90633 |
|
569 |
560 |
$9.00 |
| 90700 |
|
385 |
378 |
$9.00 |
| 90620 |
|
60 |
60 |
$8.91 |
| 99000 |
|
141 |
139 |
$3.59 |
| 3008F |
|
4,005 |
3,884 |
$3.52 |
| 81000 |
|
13 |
13 |
$2.55 |
| 1036F |
|
1,378 |
1,293 |
$2.31 |
| 82962 |
|
150 |
143 |
$2.00 |
| 1170F |
|
606 |
596 |
$0.49 |
| 1159F |
|
200 |
198 |
$0.31 |
| 1160F |
|
193 |
191 |
$0.28 |
| 84403 |
|
29 |
27 |
$0.00 |
| 80061 |
Lipid panel |
805 |
794 |
$0.00 |
| 83655 |
|
198 |
197 |
$0.00 |
| 3725F |
|
385 |
378 |
$0.00 |
| 84702 |
|
136 |
128 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
151 |
151 |
$0.00 |
| 81003 |
|
470 |
462 |
$0.00 |
| 86431 |
|
89 |
88 |
$0.00 |
| 82570 |
|
148 |
146 |
$0.00 |
| 84439 |
|
423 |
418 |
$0.00 |
| 85610 |
|
41 |
41 |
$0.00 |
| 87186 |
|
51 |
49 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
197 |
195 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
24 |
24 |
$0.00 |
| 86003 |
|
58 |
58 |
$0.00 |
| 87481 |
|
12 |
12 |
$0.00 |
| 86900 |
|
13 |
12 |
$0.00 |
| 85027 |
|
26 |
25 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,540 |
1,490 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,007 |
1,909 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
877 |
862 |
$0.00 |
| 85652 |
|
209 |
203 |
$0.00 |
| 1000F |
|
2,220 |
2,203 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,341 |
1,296 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
59 |
58 |
$0.00 |
| 3353F |
|
181 |
180 |
$0.00 |
| 82043 |
|
323 |
321 |
$0.00 |
| 86592 |
|
126 |
125 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
687 |
677 |
$0.00 |
| 90696 |
|
334 |
332 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
151 |
151 |
$0.00 |
| 88738 |
|
1,832 |
1,827 |
$0.00 |
| 85730 |
|
16 |
16 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
42 |
$0.00 |
| 84436 |
|
104 |
102 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
648 |
642 |
$0.00 |
| 1220F |
|
453 |
444 |
$0.00 |
| 84153 |
|
68 |
67 |
$0.00 |
| 86901 |
|
13 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
506 |
499 |
$0.00 |
| 86140 |
|
77 |
72 |
$0.00 |
| 3351F |
|
273 |
268 |
$0.00 |
| 1126F |
|
318 |
313 |
$0.00 |
| 1125F |
|
120 |
118 |
$0.00 |
| S8110 |
Peak expiratory flow rate (physician services) |
156 |
156 |
$0.00 |
| 81001 |
|
186 |
184 |
$0.00 |
| 84479 |
|
49 |
48 |
$0.00 |
| 84480 |
|
21 |
21 |
$0.00 |
| 3352F |
|
21 |
21 |
$0.00 |
| 82150 |
|
12 |
12 |
$0.00 |
| 1034F |
|
14 |
14 |
$0.00 |