| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,766 |
8,286 |
$764K |
| 99215 |
Prolong outpt/office vis |
3,665 |
3,552 |
$432K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,946 |
2,772 |
$153K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
820 |
809 |
$74K |
| 99205 |
Prolong outpt/office vis |
406 |
402 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
441 |
431 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
336 |
331 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
6,048 |
5,814 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
178 |
$13K |
| 96111 |
|
163 |
152 |
$12K |
| 92081 |
|
655 |
630 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
123 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
307 |
286 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
544 |
517 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,085 |
1,040 |
$8K |
| 92551 |
|
1,206 |
1,162 |
$8K |
| 99406 |
|
932 |
878 |
$8K |
| 99407 |
|
450 |
419 |
$7K |
| 99386 |
|
38 |
37 |
$5K |
| D0190 |
|
293 |
282 |
$4K |
| 81002 |
|
1,300 |
1,266 |
$3K |
| 96112 |
|
41 |
41 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
125 |
124 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
94 |
93 |
$2K |
| 99383 |
|
17 |
16 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$866.33 |
| 97802 |
|
480 |
451 |
$795.31 |
| 99188 |
|
96 |
88 |
$678.79 |
| 99408 |
|
34 |
30 |
$465.17 |
| 86580 |
|
101 |
98 |
$421.51 |
| 82962 |
|
172 |
159 |
$415.31 |
| 81025 |
|
56 |
55 |
$350.42 |
| 82947 |
|
110 |
106 |
$199.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$188.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,740 |
3,646 |
$125.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$124.04 |
| 97803 |
|
112 |
107 |
$83.86 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,175 |
1,108 |
$37.50 |
| 2000F |
|
8,131 |
7,455 |
$7.01 |
| 3078F |
|
3,582 |
3,380 |
$1.76 |
| 3074F |
|
4,915 |
4,620 |
$1.74 |
| 3079F |
|
3,593 |
3,457 |
$1.37 |
| 3077F |
|
2,197 |
2,080 |
$1.23 |
| 3075F |
|
1,833 |
1,777 |
$0.92 |
| 3080F |
|
1,766 |
1,680 |
$0.68 |
| 3754F |
|
546 |
537 |
$0.16 |
| 3008F |
|
830 |
787 |
$0.14 |
| 1220F |
|
2,018 |
1,881 |
$0.06 |
| 3011F |
|
622 |
598 |
$0.04 |
| 1034F |
|
1,433 |
1,338 |
$0.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,159 |
4,049 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,659 |
5,178 |
$0.00 |
| 83655 |
|
252 |
236 |
$0.00 |
| 80061 |
Lipid panel |
2,901 |
2,821 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,411 |
1,321 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
90 |
88 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90649 |
|
28 |
27 |
$0.00 |
| 3511F |
|
17 |
17 |
$0.00 |
| 87110 |
|
12 |
12 |
$0.00 |
| 94760 |
|
3,554 |
3,332 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
99 |
96 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,918 |
3,575 |
$0.00 |
| 1125F |
|
249 |
237 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
3,652 |
3,562 |
$0.00 |
| 1036F |
|
529 |
502 |
$0.00 |
| 3017F |
|
79 |
78 |
$0.00 |
| 1126F |
|
221 |
210 |
$0.00 |
| 4000F |
|
142 |
131 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
132 |
130 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
60 |
60 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 90686 |
|
13 |
12 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |
| 81005 |
|
14 |
14 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 3044F |
|
19 |
19 |
$0.00 |