| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,719 |
5,596 |
$306K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,079 |
24,479 |
$229K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,638 |
6,510 |
$109K |
| 99460 |
|
1,806 |
1,782 |
$86K |
| G9920 |
Screening performed and negative |
13,450 |
13,392 |
$71K |
| 99381 |
|
752 |
710 |
$68K |
| 92551 |
|
10,946 |
10,926 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,560 |
5,527 |
$52K |
| 90698 |
|
4,422 |
4,315 |
$27K |
| 90670 |
|
4,350 |
4,313 |
$26K |
| 99462 |
|
1,069 |
1,057 |
$26K |
| 90686 |
|
5,574 |
5,543 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,655 |
2,646 |
$19K |
| 90681 |
|
2,504 |
2,433 |
$19K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
718 |
248 |
$19K |
| 90744 |
|
2,818 |
2,744 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
178 |
176 |
$12K |
| 90633 |
|
2,772 |
2,746 |
$10K |
| 90651 |
|
2,499 |
2,496 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
533 |
522 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,182 |
1,161 |
$7K |
| 90671 |
|
1,118 |
1,108 |
$7K |
| 90697 |
|
158 |
150 |
$4K |
| 90734 |
|
1,394 |
1,388 |
$3K |
| 90710 |
|
845 |
840 |
$3K |
| 90707 |
|
634 |
620 |
$2K |
| 90696 |
|
633 |
629 |
$2K |
| 90716 |
|
562 |
550 |
$2K |
| 90700 |
|
468 |
457 |
$2K |
| 99173 |
|
8,577 |
8,559 |
$2K |
| 90648 |
|
323 |
319 |
$1K |
| 90715 |
|
610 |
609 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,790 |
1,788 |
$1K |
| 99441 |
|
430 |
423 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$1K |
| 90688 |
|
252 |
250 |
$602.20 |
| 90685 |
|
38 |
31 |
$526.76 |
| 86580 |
|
126 |
124 |
$508.57 |
| 90620 |
|
245 |
244 |
$459.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
268 |
268 |
$259.00 |
| 90656 |
|
216 |
216 |
$189.00 |
| 96160 |
|
7,165 |
7,157 |
$137.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
389 |
249 |
$72.72 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
4,900 |
4,876 |
$62.50 |
| 3008F |
|
18,494 |
17,980 |
$27.50 |
| 83655 |
|
966 |
963 |
$24.75 |
| 81002 |
|
54 |
53 |
$9.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
56 |
$0.00 |
| 0545F |
|
84 |
84 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
291 |
291 |
$0.00 |
| 97804 |
|
35 |
35 |
$0.00 |
| 96161 |
|
13 |
13 |
$0.00 |
| G8940 |
Screening for depression documented as positive, a follow-up plan not completed, documented reason |
159 |
159 |
$0.00 |
| 90461 |
|
87 |
74 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
16 |
$0.00 |
| 91320 |
|
14 |
14 |
$0.00 |