| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,047 |
7,012 |
$173K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,947 |
8,905 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,753 |
47,757 |
$162K |
| 92552 |
|
18,640 |
18,562 |
$106K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,370 |
7,332 |
$102K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,835 |
3,816 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,260 |
5,787 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,517 |
2,486 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,181 |
20,008 |
$57K |
| 96156 |
|
3,428 |
3,392 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24,264 |
23,984 |
$41K |
| 90686 |
|
8,175 |
8,126 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,807 |
3,620 |
$22K |
| 90651 |
|
3,046 |
3,026 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
789 |
787 |
$13K |
| 90670 |
|
3,567 |
3,548 |
$12K |
| 90620 |
|
1,162 |
1,155 |
$10K |
| 99173 |
|
12,694 |
12,526 |
$9K |
| 97802 |
|
7,710 |
7,645 |
$7K |
| 90734 |
|
1,725 |
1,720 |
$5K |
| 99205 |
Prolong outpt/office vis |
46 |
32 |
$5K |
| 3008F |
|
34,951 |
33,549 |
$5K |
| G9920 |
Screening performed and negative |
2,460 |
2,440 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,455 |
2,437 |
$4K |
| 90698 |
|
1,606 |
1,591 |
$4K |
| 90633 |
|
1,549 |
1,542 |
$3K |
| 85018 |
|
3,955 |
3,889 |
$2K |
| 88150 |
|
233 |
230 |
$2K |
| 90648 |
|
866 |
851 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
128 |
128 |
$2K |
| 90680 |
|
766 |
758 |
$2K |
| 92551 |
|
1,038 |
1,037 |
$2K |
| 86580 |
|
965 |
958 |
$2K |
| 90744 |
|
855 |
849 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
612 |
582 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
344 |
343 |
$2K |
| 90685 |
|
444 |
441 |
$1K |
| 96127 |
|
4,034 |
4,014 |
$1K |
| 97803 |
|
1,090 |
1,071 |
$1K |
| 90688 |
|
621 |
619 |
$1K |
| 90715 |
|
449 |
449 |
$961.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
108 |
$946.25 |
| 90677 |
|
161 |
161 |
$878.19 |
| 90656 |
|
301 |
298 |
$855.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,452 |
11,375 |
$800.32 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
635 |
634 |
$699.00 |
| 90671 |
|
54 |
53 |
$592.75 |
| 90723 |
|
137 |
137 |
$573.86 |
| 90707 |
|
465 |
462 |
$522.00 |
| 92081 |
|
3,267 |
3,240 |
$515.08 |
| 99460 |
|
13 |
13 |
$458.82 |
| 81000 |
|
302 |
302 |
$437.67 |
| 85014 |
|
535 |
508 |
$404.70 |
| 99384 |
|
30 |
30 |
$392.07 |
| 83026 |
|
276 |
274 |
$385.95 |
| 81003 |
|
311 |
308 |
$364.04 |
| 83655 |
|
182 |
178 |
$330.08 |
| 90716 |
|
562 |
558 |
$315.00 |
| 90696 |
|
128 |
128 |
$297.00 |
| 90700 |
|
374 |
374 |
$252.00 |
| 3077F |
|
1,453 |
1,370 |
$249.30 |
| 99383 |
|
12 |
12 |
$220.00 |
| 99385 |
|
80 |
79 |
$205.20 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
42 |
42 |
$173.61 |
| 90681 |
|
59 |
59 |
$162.00 |
| 90710 |
|
152 |
152 |
$137.00 |
| 3074F |
|
11,301 |
10,584 |
$112.63 |
| 90461 |
|
353 |
304 |
$96.56 |
| 81002 |
|
127 |
123 |
$87.40 |
| 1125F |
|
3,552 |
3,327 |
$49.07 |
| 96160 |
|
1,423 |
1,410 |
$30.00 |
| 1126F |
|
8,156 |
7,759 |
$25.09 |
| 99441 |
|
256 |
252 |
$20.52 |
| 99442 |
|
198 |
192 |
$19.14 |
| 90649 |
|
12 |
12 |
$9.00 |
| 99177 |
|
71 |
71 |
$4.50 |
| 3078F |
|
10,551 |
9,911 |
$0.13 |
| 1159F |
|
7,309 |
6,767 |
$0.12 |
| 1160F |
|
10,944 |
10,114 |
$0.12 |
| 1000F |
|
2,863 |
2,838 |
$0.10 |
| 1036F |
|
3,172 |
3,136 |
$0.03 |
| 3079F |
|
2,967 |
2,897 |
$0.01 |
| 3075F |
|
1,448 |
1,408 |
$0.01 |
| 0521F |
|
526 |
499 |
$0.00 |
| 90713 |
|
112 |
112 |
$0.00 |
| 1033F |
|
401 |
394 |
$0.00 |
| 1158F |
|
1,059 |
1,056 |
$0.00 |
| 4004F |
|
1,444 |
1,439 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
79 |
77 |
$0.00 |
| 99401 |
|
28 |
28 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
29 |
29 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$0.00 |
| 3080F |
|
666 |
640 |
$0.00 |
| 90474 |
|
554 |
548 |
$0.00 |
| 97804 |
|
57 |
51 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
29 |
29 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$0.00 |
| 96161 |
|
94 |
91 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
240 |
236 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |