| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,354 |
5,033 |
$249K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,025 |
1,019 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
893 |
885 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
721 |
711 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
603 |
598 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
377 |
370 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
333 |
316 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,660 |
1,642 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
189 |
184 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
143 |
$15K |
| 80061 |
Lipid panel |
1,578 |
1,543 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,357 |
2,332 |
$14K |
| 92551 |
|
2,189 |
2,166 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,416 |
1,400 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
133 |
125 |
$9K |
| 83655 |
|
1,032 |
1,022 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,303 |
1,285 |
$8K |
| 87110 |
|
610 |
584 |
$7K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
359 |
350 |
$7K |
| 87590 |
|
594 |
566 |
$7K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
398 |
387 |
$6K |
| 99381 |
|
53 |
53 |
$4K |
| 86580 |
|
629 |
624 |
$2K |
| 97802 |
|
494 |
494 |
$2K |
| 99442 |
|
67 |
67 |
$1K |
| 97803 |
|
384 |
379 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
676 |
649 |
$835.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
104 |
$774.38 |
| 90649 |
|
208 |
204 |
$465.18 |
| 81002 |
|
351 |
343 |
$271.36 |
| 96127 |
|
24 |
24 |
$62.70 |
| 99173 |
|
1,835 |
1,811 |
$18.00 |
| 90658 |
|
96 |
95 |
$0.33 |
| 90707 |
|
109 |
108 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,007 |
979 |
$0.00 |
| 90670 |
|
706 |
702 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90648 |
|
418 |
415 |
$0.00 |
| 90734 |
|
158 |
158 |
$0.00 |
| 90633 |
|
156 |
156 |
$0.00 |
| 90621 |
|
45 |
45 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |
| 99072 |
|
82 |
80 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
977 |
954 |
$0.00 |
| 90723 |
|
191 |
190 |
$0.00 |
| 90680 |
|
113 |
113 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
524 |
522 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90686 |
|
104 |
102 |
$0.00 |