| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,586 |
6,711 |
$97K |
| 99381 |
|
607 |
577 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,683 |
1,656 |
$59K |
| 99460 |
|
936 |
923 |
$48K |
| 96156 |
|
4,112 |
4,101 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,603 |
2,559 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
428 |
382 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,364 |
2,327 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
213 |
209 |
$12K |
| 90674 |
|
367 |
367 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,393 |
1,384 |
$8K |
| 90619 |
|
132 |
132 |
$5K |
| 90651 |
|
557 |
551 |
$5K |
| G9920 |
Screening performed and negative |
1,043 |
1,036 |
$5K |
| 90670 |
|
1,753 |
1,744 |
$5K |
| 90698 |
|
1,348 |
1,333 |
$4K |
| 97802 |
|
4,018 |
3,908 |
$3K |
| 90744 |
|
693 |
688 |
$3K |
| 90686 |
|
2,690 |
2,667 |
$3K |
| 92551 |
|
4,497 |
4,445 |
$3K |
| 90656 |
|
84 |
84 |
$2K |
| 90697 |
|
43 |
43 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,390 |
1,213 |
$1K |
| 90680 |
|
334 |
328 |
$968.22 |
| 90633 |
|
772 |
765 |
$706.50 |
| 85014 |
|
2,908 |
2,776 |
$463.00 |
| 96160 |
|
2,145 |
2,141 |
$210.00 |
| 90734 |
|
187 |
185 |
$198.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
143 |
138 |
$197.86 |
| 90688 |
|
45 |
45 |
$133.80 |
| 90685 |
|
19 |
19 |
$105.08 |
| 90715 |
|
39 |
39 |
$81.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
319 |
319 |
$59.72 |
| 90700 |
|
13 |
13 |
$54.00 |
| 90648 |
|
14 |
14 |
$54.00 |
| 90707 |
|
98 |
97 |
$45.00 |
| 99406 |
|
778 |
777 |
$40.11 |
| 90716 |
|
98 |
97 |
$27.00 |
| 90620 |
|
61 |
60 |
$27.00 |
| 81002 |
|
136 |
106 |
$25.50 |
| 96127 |
|
1,182 |
1,167 |
$23.95 |
| 99173 |
|
4,276 |
4,257 |
$23.73 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,205 |
2,522 |
$22.04 |
| 90710 |
|
13 |
13 |
$9.00 |
| 90696 |
|
25 |
25 |
$9.00 |
| 90660 |
|
17 |
17 |
$9.00 |
| 90677 |
|
12 |
12 |
$9.00 |
| 83655 |
|
237 |
237 |
$0.02 |
| 90461 |
|
1,933 |
1,923 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,853 |
4,791 |
$0.00 |
| 99401 |
|
342 |
340 |
$0.00 |
| 2014F |
|
62 |
62 |
$0.00 |
| 99409 |
|
292 |
292 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 90661 |
|
42 |
42 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
721 |
715 |
$0.00 |
| 92558 |
|
224 |
223 |
$0.00 |