| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27,916 |
24,615 |
$161K |
| Z1034 |
|
2,888 |
1,890 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,661 |
8,879 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,837 |
1,815 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,721 |
1,693 |
$58K |
| Z1032 |
|
354 |
354 |
$54K |
| Z6500 |
|
337 |
337 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
742 |
737 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,171 |
5,893 |
$25K |
| 92551 |
|
4,076 |
4,046 |
$25K |
| 0001A |
|
552 |
552 |
$22K |
| G9920 |
Screening performed and negative |
2,292 |
2,284 |
$20K |
| 90686 |
|
3,920 |
3,899 |
$20K |
| 0002A |
|
456 |
450 |
$18K |
| 0064A |
|
493 |
469 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,852 |
1,410 |
$16K |
| 0012A |
|
414 |
399 |
$15K |
| 0011A |
|
452 |
409 |
$14K |
| 0004A |
|
365 |
351 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
177 |
168 |
$11K |
| 0071A |
|
271 |
258 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,302 |
2,030 |
$10K |
| 90715 |
|
592 |
525 |
$9K |
| 0124A |
|
198 |
198 |
$8K |
| Z6400 |
|
342 |
342 |
$8K |
| 85018 |
|
5,289 |
5,162 |
$7K |
| 0072A |
|
150 |
146 |
$5K |
| 76813 |
|
93 |
82 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
593 |
304 |
$4K |
| 0134A |
|
111 |
111 |
$4K |
| 90670 |
|
468 |
465 |
$4K |
| 90651 |
|
338 |
335 |
$3K |
| 81005 |
|
2,731 |
2,616 |
$3K |
| 81025 |
|
615 |
575 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
602 |
596 |
$2K |
| 90734 |
|
482 |
477 |
$2K |
| 92552 |
|
237 |
237 |
$2K |
| 90716 |
|
272 |
272 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 90698 |
|
166 |
166 |
$1K |
| 92081 |
|
2,309 |
2,296 |
$1K |
| 72100 |
|
194 |
193 |
$1K |
| 90707 |
|
182 |
181 |
$1K |
| Z6204 |
|
116 |
112 |
$934.91 |
| Z6406 |
|
100 |
97 |
$810.77 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
211 |
210 |
$779.14 |
| 90633 |
|
120 |
120 |
$717.75 |
| 90680 |
|
99 |
99 |
$708.75 |
| 90744 |
|
110 |
110 |
$708.75 |
| 99173 |
|
250 |
249 |
$634.44 |
| 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 |
748 |
683 |
$592.11 |
| 86580 |
|
238 |
230 |
$455.88 |
| 76857 |
|
224 |
223 |
$446.40 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
167 |
115 |
$423.36 |
| 90700 |
|
76 |
76 |
$404.91 |
| 81003 |
|
169 |
168 |
$402.48 |
| 90713 |
|
63 |
63 |
$350.91 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
67 |
67 |
$320.10 |
| 73562 |
|
24 |
24 |
$233.80 |
| 90649 |
|
51 |
50 |
$225.00 |
| Z6304 |
|
27 |
27 |
$205.15 |
| 90620 |
|
103 |
102 |
$171.00 |
| 72050 |
|
12 |
12 |
$118.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$84.89 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$72.05 |
| 69210 |
|
15 |
14 |
$60.45 |
| 90658 |
|
18 |
18 |
$38.70 |
| 73565 |
|
26 |
25 |
$24.72 |
| 91307 |
|
49 |
47 |
$0.04 |
| 91301 |
|
112 |
110 |
$0.00 |
| 1170F |
|
63 |
56 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
16 |
16 |
$0.00 |
| 91306 |
|
25 |
25 |
$0.00 |
| 59425 |
|
758 |
498 |
$0.00 |
| 91300 |
|
47 |
47 |
$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 |
16 |
16 |
$0.00 |