| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,119 |
3,049 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,914 |
30,526 |
$106K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,972 |
4,794 |
$102K |
| 99381 |
|
817 |
816 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,829 |
3,791 |
$69K |
| 90686 |
|
7,183 |
7,064 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,393 |
2,368 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,054 |
10,942 |
$35K |
| 99460 |
|
726 |
721 |
$33K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,924 |
2,918 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,792 |
2,791 |
$18K |
| 92552 |
|
5,035 |
5,009 |
$15K |
| 90670 |
|
2,762 |
2,677 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,544 |
1,525 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
493 |
489 |
$13K |
| 90648 |
|
2,284 |
2,201 |
$13K |
| 92551 |
|
3,041 |
2,959 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,495 |
1,490 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,539 |
4,362 |
$11K |
| 90680 |
|
1,899 |
1,868 |
$11K |
| 85018 |
|
12,591 |
12,312 |
$10K |
| 99457 |
|
1,278 |
1,278 |
$9K |
| 90723 |
|
1,558 |
1,534 |
$9K |
| 90651 |
|
1,151 |
1,134 |
$9K |
| 99462 |
|
441 |
337 |
$7K |
| 93000 |
|
543 |
539 |
$7K |
| 99454 |
|
374 |
374 |
$6K |
| 99458 |
|
802 |
799 |
$6K |
| 90633 |
|
1,476 |
1,398 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
43 |
43 |
$4K |
| 90710 |
|
1,288 |
1,254 |
$4K |
| 90662 |
|
89 |
88 |
$4K |
| 99441 |
|
2,005 |
1,946 |
$4K |
| 90697 |
|
684 |
670 |
$3K |
| 99000 |
|
11,961 |
11,733 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,142 |
3,074 |
$3K |
| 90671 |
|
468 |
466 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,924 |
1,914 |
$3K |
| 99173 |
|
10,609 |
10,579 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
17,012 |
16,614 |
$2K |
| 82962 |
|
5,402 |
5,214 |
$2K |
| 99385 |
|
152 |
149 |
$1K |
| 92081 |
|
2,364 |
2,297 |
$930.43 |
| 90734 |
|
302 |
302 |
$792.00 |
| 90685 |
|
81 |
69 |
$763.90 |
| 90700 |
|
272 |
263 |
$754.00 |
| 90620 |
|
236 |
231 |
$698.50 |
| 81002 |
|
3,104 |
3,023 |
$674.58 |
| 90619 |
|
147 |
147 |
$670.50 |
| 0071A |
|
15 |
15 |
$590.00 |
| 3725F |
|
8,162 |
8,102 |
$518.65 |
| 99442 |
|
449 |
441 |
$500.00 |
| 90715 |
|
86 |
86 |
$484.81 |
| 3008F |
|
43,684 |
41,753 |
$452.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
277 |
263 |
$417.29 |
| 86580 |
|
147 |
144 |
$382.68 |
| 90696 |
|
123 |
123 |
$297.00 |
| G8482 |
Influenza immunization administered or previously received |
2,308 |
2,301 |
$285.66 |
| 3074F |
|
28,030 |
27,137 |
$270.61 |
| 99453 |
|
46 |
46 |
$255.01 |
| 81025 |
|
1,176 |
1,163 |
$239.50 |
| 90688 |
|
75 |
75 |
$225.55 |
| 3079F |
|
9,488 |
9,255 |
$192.08 |
| 1159F |
|
7,095 |
6,977 |
$191.35 |
| 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 |
13 |
12 |
$147.12 |
| 90681 |
|
16 |
16 |
$126.00 |
| 1160F |
|
7,150 |
7,041 |
$99.18 |
| 99443 |
|
26 |
24 |
$87.98 |
| 3078F |
|
27,248 |
26,372 |
$74.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,453 |
6,414 |
$70.23 |
| 3075F |
|
6,166 |
6,067 |
$63.52 |
| 3077F |
|
4,895 |
4,691 |
$57.43 |
| 1036F |
|
7,873 |
7,774 |
$52.92 |
| 99386 |
|
13 |
13 |
$38.49 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,796 |
1,786 |
$24.59 |
| 3080F |
|
2,293 |
2,224 |
$23.52 |
| 87650 |
|
13 |
13 |
$17.83 |
| 1111F |
|
447 |
443 |
$0.27 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
143 |
$0.00 |
| 85032 |
|
90 |
90 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| 97802 |
|
145 |
145 |
$0.00 |
| 1170F |
|
24 |
24 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
144 |
144 |
$0.00 |
| 1126F |
|
26 |
25 |
$0.00 |
| 3072F |
|
12 |
12 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
3,430 |
3,381 |
$0.00 |
| 99401 |
|
145 |
145 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| 4004F |
|
145 |
142 |
$0.00 |
| 1003F |
|
12 |
12 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
58 |
58 |
$0.00 |
| 1090F |
|
24 |
24 |
$0.00 |
| 1158F |
|
12 |
12 |
$0.00 |