| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,445 |
3,393 |
$257K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,241 |
3,170 |
$235K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,039 |
2,034 |
$180K |
| 59425 |
|
1,920 |
1,073 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,358 |
18,600 |
$142K |
| 92552 |
|
4,513 |
4,508 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,032 |
1,032 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,788 |
10,306 |
$69K |
| 90686 |
|
3,360 |
3,342 |
$64K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
502 |
431 |
$59K |
| 90651 |
|
698 |
698 |
$55K |
| G9920 |
Screening performed and negative |
1,119 |
1,118 |
$44K |
| 90670 |
|
2,304 |
2,281 |
$40K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,280 |
1,278 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
761 |
761 |
$29K |
| 90648 |
|
1,697 |
1,673 |
$28K |
| 90680 |
|
1,523 |
1,517 |
$25K |
| 99188 |
|
931 |
910 |
$25K |
| 99173 |
|
3,526 |
3,521 |
$24K |
| 90633 |
|
1,196 |
1,174 |
$21K |
| 90715 |
|
664 |
659 |
$19K |
| 90723 |
|
1,091 |
1,082 |
$18K |
| 85018 |
|
9,886 |
9,752 |
$17K |
| 99215 |
Prolong outpt/office vis |
374 |
367 |
$14K |
| 90707 |
|
671 |
663 |
$12K |
| 90698 |
|
687 |
686 |
$12K |
| 90716 |
|
505 |
501 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,610 |
1,601 |
$9K |
| 90671 |
|
417 |
416 |
$8K |
| 81002 |
|
4,566 |
4,517 |
$8K |
| 90744 |
|
441 |
441 |
$7K |
| 90656 |
|
255 |
255 |
$5K |
| 96127 |
|
765 |
760 |
$5K |
| 90734 |
|
198 |
198 |
$4K |
| 81025 |
|
1,162 |
1,141 |
$4K |
| 99381 |
|
38 |
38 |
$3K |
| 83655 |
|
305 |
305 |
$3K |
| 90700 |
|
148 |
147 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$2K |
| 90696 |
|
105 |
105 |
$2K |
| 90710 |
|
77 |
77 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
29 |
29 |
$1K |
| 0071A |
|
29 |
29 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
185 |
185 |
$724.56 |
| 0012A |
|
18 |
18 |
$720.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
145 |
$558.67 |
| 90685 |
|
31 |
31 |
$558.00 |
| 0064A |
|
13 |
13 |
$520.00 |
| 0011A |
|
12 |
12 |
$480.00 |
| 90620 |
|
12 |
12 |
$425.46 |
| 82962 |
|
183 |
182 |
$327.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$276.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
256 |
249 |
$175.72 |
| 99499 |
|
113 |
112 |
$0.00 |
| 3078F |
|
699 |
690 |
$0.00 |
| 3046F |
|
320 |
317 |
$0.00 |
| 1036F |
|
1,809 |
1,751 |
$0.00 |
| 3074F |
|
758 |
746 |
$0.00 |
| 3044F |
|
309 |
309 |
$0.00 |
| 3075F |
|
82 |
81 |
$0.00 |
| 3079F |
|
177 |
174 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
54 |
54 |
$0.00 |
| 90694 |
|
14 |
14 |
$0.00 |