| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,803 |
7,766 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,363 |
33,639 |
$269K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,289 |
7,252 |
$203K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,002 |
4,961 |
$158K |
| 92551 |
|
16,932 |
16,918 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,276 |
1,231 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,141 |
9,635 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,299 |
7,931 |
$42K |
| Z1034 |
|
589 |
468 |
$32K |
| 85018 |
|
24,450 |
24,098 |
$25K |
| 90686 |
|
4,198 |
4,195 |
$24K |
| 99381 |
|
234 |
223 |
$21K |
| 90651 |
|
2,621 |
2,620 |
$18K |
| 99188 |
|
3,235 |
3,232 |
$18K |
| 92552 |
|
1,693 |
1,692 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
104 |
$11K |
| 90648 |
|
1,737 |
1,714 |
$11K |
| 90670 |
|
1,680 |
1,676 |
$11K |
| 3074F |
|
9,239 |
8,371 |
$9K |
| 81000 |
|
5,551 |
5,526 |
$8K |
| 3078F |
|
8,992 |
8,159 |
$8K |
| 0002A |
|
200 |
194 |
$8K |
| 90723 |
|
1,083 |
1,079 |
$8K |
| 0001A |
|
196 |
189 |
$7K |
| 90734 |
|
1,627 |
1,626 |
$7K |
| 99000 |
|
5,871 |
5,802 |
$6K |
| 90680 |
|
688 |
687 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
397 |
397 |
$5K |
| 90620 |
|
1,170 |
1,168 |
$5K |
| 90633 |
|
701 |
699 |
$4K |
| 99401 |
|
210 |
206 |
$4K |
| 0003A |
|
84 |
81 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
16 |
$3K |
| 99383 |
|
21 |
21 |
$2K |
| 81002 |
|
10,469 |
10,415 |
$2K |
| 90715 |
|
362 |
361 |
$2K |
| 3079F |
|
1,587 |
1,527 |
$1K |
| 90685 |
|
169 |
169 |
$996.35 |
| 90716 |
|
141 |
141 |
$783.00 |
| 3075F |
|
818 |
785 |
$668.00 |
| 90710 |
|
133 |
133 |
$594.00 |
| 90707 |
|
62 |
62 |
$383.25 |
| 81003 |
|
304 |
304 |
$371.45 |
| 3077F |
|
985 |
919 |
$369.00 |
| 90696 |
|
62 |
62 |
$342.00 |
| 90700 |
|
70 |
70 |
$315.00 |
| 90658 |
|
75 |
75 |
$279.00 |
| 90461 |
|
2,009 |
2,003 |
$210.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,615 |
1,549 |
$186.53 |
| 3080F |
|
311 |
303 |
$36.00 |
| 86580 |
|
12 |
12 |
$26.39 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
59 |
59 |
$0.00 |
| 81025 |
|
13 |
12 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
138 |
115 |
$0.00 |