| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,855 |
15,318 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,868 |
1,865 |
$68K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,703 |
1,682 |
$64K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
238 |
229 |
$40K |
| 99401 |
|
4,905 |
4,672 |
$39K |
| J3490 |
Unclassified drugs |
260 |
214 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,910 |
3,711 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,935 |
3,625 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
601 |
601 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
731 |
721 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
395 |
394 |
$14K |
| 92552 |
|
1,311 |
1,310 |
$14K |
| Z1034 |
|
234 |
178 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,393 |
825 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
435 |
422 |
$8K |
| 99000 |
|
2,223 |
2,094 |
$5K |
| 85018 |
|
1,696 |
1,631 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
155 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
344 |
344 |
$4K |
| 90688 |
|
534 |
531 |
$3K |
| 81025 |
|
1,079 |
1,043 |
$2K |
| 99201 |
|
318 |
215 |
$2K |
| 99385 |
|
69 |
69 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
542 |
538 |
$2K |
| 96156 |
|
312 |
309 |
$1K |
| 81002 |
|
491 |
487 |
$960.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
757 |
745 |
$941.10 |
| 82947 |
|
109 |
109 |
$461.16 |
| 82465 |
|
112 |
112 |
$439.56 |
| 96127 |
|
877 |
876 |
$388.77 |
| 90670 |
|
69 |
69 |
$369.00 |
| 99241 |
|
182 |
138 |
$354.96 |
| 90698 |
|
41 |
41 |
$342.00 |
| 90680 |
|
39 |
39 |
$297.00 |
| Z6406 |
|
38 |
27 |
$287.66 |
| 97803 |
|
66 |
65 |
$227.07 |
| Z6400 |
|
28 |
28 |
$212.72 |
| 90715 |
|
15 |
14 |
$155.91 |
| 90658 |
|
28 |
26 |
$130.40 |
| 99242 |
|
14 |
14 |
$127.44 |
| 93000 |
|
24 |
24 |
$115.38 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,712 |
2,707 |
$102.32 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
26 |
26 |
$95.16 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
668 |
668 |
$68.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
143 |
143 |
$43.87 |
| 90686 |
|
139 |
139 |
$38.25 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$23.60 |
| 3725F |
|
32 |
32 |
$20.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
866 |
864 |
$16.01 |
| 90671 |
|
40 |
39 |
$9.00 |
| 36415 |
Collection of venous blood by venipuncture |
131 |
117 |
$3.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,078 |
2,077 |
$0.01 |
| 3074F |
|
2,561 |
2,533 |
$0.00 |
| 3079F |
|
1,226 |
1,206 |
$0.00 |
| 94760 |
|
102 |
97 |
$0.00 |
| 3049F |
|
25 |
25 |
$0.00 |
| 3008F |
|
4,713 |
4,693 |
$0.00 |
| 3075F |
|
254 |
248 |
$0.00 |
| 3061F |
|
104 |
103 |
$0.00 |
| 3044F |
|
64 |
63 |
$0.00 |
| 99386 |
|
48 |
48 |
$0.00 |
| 3048F |
|
64 |
64 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 97802 |
|
24 |
24 |
$0.00 |
| 99443 |
|
15 |
14 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
823 |
823 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
467 |
467 |
$0.00 |
| 59425 |
|
109 |
79 |
$0.00 |
| 3078F |
|
1,786 |
1,770 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
13 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$0.00 |
| 3051F |
|
14 |
14 |
$0.00 |
| 3015F |
|
17 |
17 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |