| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
8,139 |
7,599 |
$683K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,318 |
55,099 |
$524K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,511 |
9,470 |
$404K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,364 |
7,084 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
834 |
834 |
$45K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
724 |
720 |
$7K |
| 93000 |
|
3,123 |
3,090 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,901 |
2,707 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17,517 |
16,672 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,352 |
1,350 |
$1K |
| 88141 |
|
401 |
378 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$922.18 |
| 96156 |
|
7,223 |
7,168 |
$586.90 |
| 71046 |
Radiologic examination, chest; 2 views |
177 |
174 |
$435.51 |
| 99406 |
|
253 |
243 |
$434.12 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
4,017 |
3,954 |
$381.94 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
28 |
$332.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,727 |
10,576 |
$318.76 |
| 99496 |
|
248 |
245 |
$303.01 |
| 90658 |
|
20 |
19 |
$295.56 |
| 90688 |
|
22 |
22 |
$292.44 |
| G9920 |
Screening performed and negative |
4,796 |
4,742 |
$286.80 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$252.00 |
| 81002 |
|
8,374 |
8,183 |
$246.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
266 |
262 |
$233.41 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,452 |
1,446 |
$228.62 |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$218.63 |
| 90686 |
|
12 |
12 |
$155.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
523 |
519 |
$126.15 |
| 69209 |
|
50 |
50 |
$100.73 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,434 |
1,430 |
$98.91 |
| 69210 |
|
134 |
123 |
$90.67 |
| 99497 |
|
12 |
12 |
$80.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
739 |
720 |
$60.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
130 |
128 |
$41.10 |
| G9919 |
Screening performed and positive and provision of recommendations |
280 |
280 |
$28.71 |
| 92562 |
|
595 |
590 |
$25.17 |
| 99173 |
|
4,367 |
4,332 |
$20.00 |
| 99000 |
|
336 |
333 |
$17.95 |
| 85018 |
|
781 |
776 |
$12.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
340 |
336 |
$8.47 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
63 |
63 |
$6.39 |
| 94760 |
|
384 |
379 |
$5.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
122 |
$5.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,084 |
1,072 |
$4.94 |
| 1036F |
|
8,087 |
7,850 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
11,082 |
10,774 |
$0.00 |
| 1111F |
|
1,330 |
1,292 |
$0.00 |
| 3074F |
|
7,130 |
6,724 |
$0.00 |
| 1220F |
|
610 |
609 |
$0.00 |
| 3008F |
|
21,194 |
19,890 |
$0.00 |
| 96150 |
|
316 |
315 |
$0.00 |
| 3079F |
|
3,859 |
3,723 |
$0.00 |
| 1157F |
|
2,046 |
2,037 |
$0.00 |
| 3351F |
|
1,031 |
1,028 |
$0.00 |
| 3044F |
|
514 |
507 |
$0.00 |
| 1034F |
|
221 |
219 |
$0.00 |
| 3075F |
|
2,975 |
2,884 |
$0.00 |
| 3080F |
|
547 |
531 |
$0.00 |
| 96151 |
|
828 |
824 |
$0.00 |
| 3353F |
|
245 |
244 |
$0.00 |
| 3352F |
|
206 |
206 |
$0.00 |
| 3052F |
|
50 |
48 |
$0.00 |
| 3354F |
|
27 |
27 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
94 |
94 |
$0.00 |
| 1170F |
|
17 |
12 |
$0.00 |
| 99441 |
|
13 |
13 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 1125F |
|
16 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,271 |
3,259 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$0.00 |
| 3078F |
|
7,035 |
6,680 |
$0.00 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
900 |
891 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
888 |
870 |
$0.00 |
| 3725F |
|
318 |
316 |
$0.00 |
| 1159F |
|
773 |
712 |
$0.00 |
| 1160F |
|
894 |
833 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
51 |
51 |
$0.00 |
| 3077F |
|
1,173 |
1,114 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
86 |
$0.00 |
| 99499 |
|
82 |
82 |
$0.00 |
| 3046F |
|
16 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$0.00 |
| 0521F |
|
17 |
12 |
$0.00 |
| 73610 |
|
12 |
12 |
$0.00 |
| 73030 |
|
13 |
13 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
21 |
21 |
$0.00 |
| 1158F |
|
17 |
12 |
$0.00 |