| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,299 |
14,209 |
$324K |
| 99385 |
|
662 |
615 |
$46K |
| 99386 |
|
438 |
413 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
992 |
862 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
341 |
317 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
136 |
125 |
$12K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
503 |
478 |
$12K |
| 99397 |
|
223 |
214 |
$6K |
| 93000 |
|
819 |
735 |
$4K |
| 99454 |
|
264 |
207 |
$2K |
| 82962 |
|
1,871 |
1,550 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
510 |
472 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
317 |
289 |
$864.97 |
| 99457 |
|
485 |
370 |
$802.60 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
16 |
12 |
$666.87 |
| 3008F |
|
10,193 |
7,790 |
$592.58 |
| 99442 |
|
46 |
40 |
$577.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
16 |
$411.64 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,500 |
510 |
$85.67 |
| 99458 |
|
435 |
334 |
$52.27 |
| 82947 |
|
689 |
504 |
$49.90 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
382 |
347 |
$41.35 |
| 1158F |
|
2,970 |
2,534 |
$25.51 |
| 3079F |
|
3,986 |
3,177 |
$14.17 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,467 |
508 |
$12.57 |
| 97124 |
|
2,503 |
510 |
$12.07 |
| 97035 |
|
2,490 |
509 |
$10.70 |
| 3074F |
|
5,520 |
4,363 |
$7.05 |
| 96127 |
|
40 |
37 |
$1.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.32 |
| 1160F |
|
9,435 |
7,520 |
$0.00 |
| 3078F |
|
5,030 |
3,940 |
$0.00 |
| 1159F |
|
8,215 |
6,437 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
151 |
128 |
$0.00 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
174 |
174 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,500 |
509 |
$0.00 |
| 99497 |
|
283 |
266 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
112 |
111 |
$0.00 |
| 1090F |
|
13 |
12 |
$0.00 |
| 1170F |
|
203 |
155 |
$0.00 |
| 3075F |
|
3,413 |
2,799 |
$0.00 |
| 1111F |
|
292 |
224 |
$0.00 |
| 99406 |
|
69 |
58 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
25 |
24 |
$0.00 |
| 99496 |
|
19 |
13 |
$0.00 |
| 1125F |
|
18 |
13 |
$0.00 |