| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,818 |
15,931 |
$343K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,201 |
7,838 |
$214K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
626 |
506 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,054 |
799 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
706 |
510 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
592 |
479 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,092 |
696 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
547 |
403 |
$14K |
| 99442 |
|
762 |
553 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,561 |
1,129 |
$13K |
| 99443 |
|
528 |
412 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
654 |
410 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
784 |
536 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
240 |
141 |
$7K |
| 99215 |
Prolong outpt/office vis |
203 |
178 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
633 |
364 |
$6K |
| 90619 |
|
85 |
71 |
$5K |
| 96127 |
|
2,125 |
1,227 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,281 |
768 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
240 |
$3K |
| 90651 |
|
200 |
139 |
$2K |
| 90670 |
|
513 |
295 |
$2K |
| 92552 |
|
226 |
199 |
$2K |
| 80305 |
|
751 |
449 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,834 |
1,175 |
$1K |
| 82962 |
|
4,900 |
2,963 |
$1K |
| 90621 |
|
44 |
36 |
$1K |
| 90461 |
|
109 |
70 |
$971.16 |
| 87428 |
|
23 |
13 |
$916.12 |
| 99350 |
Prolong home eval add 15m |
198 |
123 |
$785.30 |
| 93000 |
|
700 |
378 |
$678.65 |
| 99406 |
|
1,158 |
617 |
$654.74 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
410 |
295 |
$563.27 |
| 99349 |
|
290 |
179 |
$538.95 |
| 90686 |
|
404 |
254 |
$370.54 |
| 90680 |
|
104 |
67 |
$278.82 |
| 90716 |
|
62 |
38 |
$266.06 |
| 1126F |
|
21,357 |
12,945 |
$254.12 |
| 3074F |
|
21,964 |
15,174 |
$251.07 |
| 99173 |
|
759 |
645 |
$237.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
13 |
$198.30 |
| 3078F |
|
17,457 |
12,306 |
$189.06 |
| 90697 |
|
14 |
13 |
$142.00 |
| 3079F |
|
9,679 |
6,596 |
$123.02 |
| 81025 |
|
43 |
40 |
$110.03 |
| 3008F |
|
34,499 |
23,487 |
$109.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
525 |
256 |
$108.59 |
| 90715 |
|
50 |
39 |
$105.82 |
| 1125F |
|
11,529 |
7,287 |
$103.03 |
| 99499 |
|
5,084 |
3,933 |
$87.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
337 |
200 |
$73.03 |
| 85018 |
|
132 |
97 |
$51.52 |
| 3077F |
|
1,942 |
1,281 |
$47.07 |
| 3075F |
|
3,575 |
2,445 |
$40.01 |
| 1159F |
|
10,122 |
7,233 |
$40.01 |
| 1160F |
|
10,110 |
7,255 |
$39.01 |
| 90633 |
|
38 |
27 |
$36.92 |
| 90700 |
|
93 |
43 |
$35.48 |
| 96160 |
|
44 |
37 |
$33.98 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
134 |
53 |
$28.07 |
| 82947 |
|
73 |
48 |
$21.26 |
| 81003 |
|
60 |
41 |
$10.82 |
| 3080F |
|
577 |
364 |
$10.00 |
| G0008 |
Administration of influenza virus vaccine |
91 |
71 |
$8.82 |
| 83037 |
|
18 |
18 |
$6.60 |
| 81002 |
|
34 |
20 |
$5.36 |
| 3044F |
|
416 |
221 |
$2.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,444 |
1,481 |
$2.00 |
| 1170F |
|
632 |
398 |
$1.00 |
| 1036F |
|
30,904 |
19,719 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12,480 |
7,464 |
$0.00 |
| 1034F |
|
4,160 |
2,594 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,132 |
633 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
248 |
141 |
$0.00 |
| 99000 |
|
304 |
274 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
169 |
99 |
$0.00 |
| 1090F |
|
536 |
367 |
$0.00 |
| 1124F |
|
624 |
398 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
259 |
154 |
$0.00 |
| 3725F |
|
16,152 |
10,238 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
8,002 |
4,621 |
$0.00 |
| 99497 |
|
96 |
69 |
$0.00 |
| 1494F |
|
203 |
159 |
$0.00 |
| 3288F |
|
381 |
263 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
69 |
39 |
$0.00 |
| 90648 |
|
64 |
28 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
19 |
15 |
$0.00 |
| 90662 |
|
18 |
13 |
$0.00 |