| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,006 |
31,697 |
$1.49M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,901 |
12,831 |
$766K |
| 99401 |
|
8,662 |
7,365 |
$215K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,178 |
2,073 |
$163K |
| 99493 |
|
1,954 |
1,701 |
$96K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,007 |
975 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
576 |
549 |
$56K |
| 99492 |
|
761 |
667 |
$54K |
| 96160 |
|
12,400 |
10,358 |
$38K |
| 99215 |
Prolong outpt/office vis |
286 |
265 |
$24K |
| 99497 |
|
1,484 |
1,427 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,107 |
1,044 |
$22K |
| 93000 |
|
2,864 |
2,601 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
302 |
289 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,726 |
1,414 |
$19K |
| 90688 |
|
2,143 |
1,677 |
$16K |
| 97803 |
|
371 |
254 |
$15K |
| 99397 |
|
758 |
651 |
$14K |
| 99441 |
|
507 |
482 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,618 |
2,954 |
$4K |
| 99442 |
|
177 |
164 |
$4K |
| 97802 |
|
87 |
61 |
$3K |
| 94760 |
|
4,365 |
3,668 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
105 |
100 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
31 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
110 |
106 |
$2K |
| 81002 |
|
1,041 |
926 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,240 |
1,131 |
$2K |
| 94010 |
|
147 |
134 |
$1K |
| 90658 |
|
47 |
47 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,222 |
982 |
$1K |
| 99494 |
|
42 |
38 |
$967.42 |
| 0012A |
|
34 |
31 |
$840.00 |
| 99421 |
|
70 |
67 |
$839.73 |
| 99000 |
|
1,898 |
1,710 |
$827.64 |
| 96127 |
|
4,153 |
2,546 |
$695.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
408 |
296 |
$650.37 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
110 |
99 |
$624.31 |
| 0011A |
|
25 |
21 |
$525.00 |
| 92250 |
|
12 |
12 |
$408.25 |
| 80305 |
|
140 |
134 |
$368.60 |
| 99402 |
|
18 |
13 |
$304.79 |
| 99422 |
|
16 |
14 |
$302.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
144 |
118 |
$195.69 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$183.30 |
| G0008 |
Administration of influenza virus vaccine |
800 |
745 |
$176.04 |
| 90656 |
|
68 |
67 |
$165.82 |
| 99173 |
|
107 |
101 |
$149.39 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$125.16 |
| 81025 |
|
19 |
19 |
$103.18 |
| 82962 |
|
20 |
18 |
$21.46 |
| 99406 |
|
86 |
74 |
$11.24 |
| 81000 |
|
16 |
13 |
$3.86 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
294 |
232 |
$2.93 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
59 |
48 |
$2.72 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
155 |
110 |
$1.57 |
| 91301 |
|
16 |
12 |
$0.01 |
| 1111F |
|
13 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,753 |
1,350 |
$0.00 |
| 3079F |
|
1,390 |
1,129 |
$0.00 |
| 4210F |
|
161 |
118 |
$0.00 |
| 4008F |
|
85 |
70 |
$0.00 |
| 3080F |
|
299 |
262 |
$0.00 |
| 1036F |
|
579 |
421 |
$0.00 |
| 3074F |
|
1,757 |
1,414 |
$0.00 |
| 3075F |
|
911 |
749 |
$0.00 |
| 1125F |
|
358 |
255 |
$0.00 |
| 1126F |
|
131 |
103 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
681 |
538 |
$0.00 |
| 1101F |
|
450 |
335 |
$0.00 |
| 1170F |
|
594 |
432 |
$0.00 |
| 3017F |
|
198 |
150 |
$0.00 |
| 3014F |
|
20 |
14 |
$0.00 |
| 3044F |
|
149 |
108 |
$0.00 |
| 4086F |
|
101 |
76 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
35 |
29 |
$0.00 |
| 4010F |
|
47 |
37 |
$0.00 |
| 3077F |
|
515 |
440 |
$0.00 |
| 3078F |
|
1,450 |
1,177 |
$0.00 |
| 1159F |
|
3,276 |
2,513 |
$0.00 |
| 1158F |
|
562 |
415 |
$0.00 |
| 1160F |
|
3,292 |
2,540 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
50 |
29 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,850 |
1,460 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
61 |
52 |
$0.00 |
| 4274F |
|
607 |
458 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
653 |
484 |
$0.00 |
| 1100F |
|
162 |
127 |
$0.00 |
| 4040F |
|
112 |
79 |
$0.00 |
| 4013F |
|
311 |
226 |
$0.00 |