| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,891 |
13,391 |
$72K |
| 92552 |
|
6,279 |
6,262 |
$70K |
| 97802 |
|
5,802 |
5,669 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
997 |
977 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,518 |
1,391 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,705 |
1,697 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,156 |
2,153 |
$12K |
| G9920 |
Screening performed and negative |
4,360 |
4,352 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,167 |
2,164 |
$11K |
| 90686 |
|
2,106 |
2,099 |
$8K |
| 99381 |
|
93 |
93 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,550 |
2,546 |
$6K |
| 90670 |
|
1,182 |
1,163 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,481 |
1,456 |
$5K |
| 90651 |
|
1,021 |
1,016 |
$5K |
| 90698 |
|
745 |
736 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
524 |
519 |
$3K |
| 90734 |
|
510 |
507 |
$2K |
| 90744 |
|
352 |
350 |
$2K |
| 96127 |
|
3,627 |
3,598 |
$2K |
| 90633 |
|
594 |
590 |
$2K |
| 90700 |
|
194 |
194 |
$1K |
| 90681 |
|
184 |
176 |
$1K |
| 90677 |
|
140 |
137 |
$1K |
| 90713 |
|
137 |
137 |
$1K |
| 90620 |
|
439 |
439 |
$1K |
| 90648 |
|
126 |
126 |
$933.24 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
100 |
100 |
$869.28 |
| 90715 |
|
254 |
254 |
$829.79 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$803.45 |
| 99382 |
|
12 |
12 |
$684.62 |
| 90697 |
|
156 |
149 |
$584.73 |
| 90716 |
|
133 |
131 |
$526.63 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
112 |
112 |
$395.01 |
| 90707 |
|
92 |
91 |
$368.27 |
| 99383 |
|
25 |
25 |
$322.27 |
| 99442 |
|
198 |
187 |
$279.88 |
| 99384 |
|
12 |
12 |
$260.48 |
| 90656 |
|
118 |
118 |
$247.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
147 |
147 |
$229.60 |
| 90619 |
|
302 |
302 |
$197.19 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
382 |
368 |
$132.23 |
| 90710 |
|
80 |
80 |
$131.82 |
| G9919 |
Screening performed and positive and provision of recommendations |
37 |
37 |
$116.00 |
| 99188 |
|
99 |
98 |
$108.00 |
| 99000 |
|
997 |
992 |
$98.92 |
| 90696 |
|
53 |
53 |
$93.00 |
| 99408 |
|
249 |
249 |
$75.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,540 |
2,512 |
$72.60 |
| 99441 |
|
225 |
213 |
$66.80 |
| 99173 |
|
2,895 |
2,886 |
$57.50 |
| 99403 |
|
89 |
55 |
$0.00 |
| 1220F |
|
53 |
53 |
$0.00 |
| 3351F |
|
434 |
434 |
$0.00 |
| 3008F |
|
173 |
168 |
$0.00 |
| 96160 |
|
481 |
481 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
980 |
974 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
109 |
109 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |