| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,752 |
6,387 |
$292K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,366 |
32,176 |
$252K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,179 |
12,767 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,920 |
14,513 |
$150K |
| 99381 |
|
2,247 |
2,145 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,795 |
9,578 |
$109K |
| 97803 |
|
44,317 |
42,998 |
$70K |
| 92552 |
|
21,329 |
20,702 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,715 |
3,606 |
$36K |
| 99383 |
|
2,250 |
2,187 |
$36K |
| 97802 |
|
8,516 |
8,468 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,062 |
4,043 |
$30K |
| 99382 |
|
1,540 |
1,485 |
$24K |
| 87110 |
|
8,807 |
8,478 |
$24K |
| 90686 |
|
10,980 |
10,878 |
$21K |
| 99384 |
|
1,148 |
1,118 |
$17K |
| 90697 |
|
612 |
602 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,290 |
19,202 |
$16K |
| 90670 |
|
5,190 |
5,133 |
$11K |
| 90680 |
|
3,282 |
3,228 |
$10K |
| 90698 |
|
4,848 |
4,795 |
$10K |
| 83655 |
|
3,871 |
3,719 |
$10K |
| 90651 |
|
3,427 |
3,381 |
$9K |
| 81000 |
|
23,456 |
22,804 |
$9K |
| 85018 |
|
20,919 |
20,744 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
260 |
259 |
$7K |
| G9920 |
Screening performed and negative |
799 |
793 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,169 |
1,160 |
$6K |
| 99173 |
|
18,384 |
18,273 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
604 |
593 |
$5K |
| 90633 |
|
3,000 |
2,967 |
$5K |
| 90744 |
|
2,028 |
1,995 |
$5K |
| 90710 |
|
2,722 |
2,700 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,214 |
1,211 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
49 |
49 |
$4K |
| 99000 |
|
5,684 |
5,625 |
$3K |
| 98960 |
|
574 |
553 |
$2K |
| 90677 |
|
342 |
341 |
$2K |
| 90620 |
|
1,089 |
1,070 |
$2K |
| 81002 |
|
2,838 |
2,824 |
$1K |
| 90619 |
|
355 |
355 |
$1K |
| 90685 |
|
637 |
618 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
190 |
187 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,865 |
1,795 |
$899.43 |
| 90461 |
|
7,892 |
7,845 |
$788.98 |
| 90715 |
|
625 |
615 |
$774.45 |
| 81003 |
|
320 |
319 |
$761.10 |
| 90672 |
|
758 |
755 |
$730.00 |
| 99460 |
|
14 |
14 |
$716.24 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
33,751 |
33,304 |
$696.31 |
| 90696 |
|
650 |
644 |
$684.00 |
| 99462 |
|
26 |
26 |
$501.50 |
| 96127 |
|
4,348 |
4,344 |
$481.15 |
| 99221 |
|
90 |
90 |
$433.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
12 |
12 |
$343.82 |
| 81025 |
|
3,737 |
3,715 |
$287.62 |
| 90734 |
|
1,373 |
1,338 |
$225.00 |
| 90380 |
|
25 |
25 |
$207.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,065 |
3,043 |
$84.00 |
| 96160 |
|
9,816 |
9,795 |
$77.44 |
| 86580 |
|
21 |
19 |
$60.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
503 |
502 |
$48.91 |
| 36416 |
|
8,907 |
8,889 |
$39.00 |
| 90658 |
|
425 |
419 |
$9.00 |
| 87070 |
|
13 |
13 |
$7.49 |
| 91300 |
|
582 |
540 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
454 |
454 |
$0.00 |
| 0002A |
|
259 |
258 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
518 |
518 |
$0.00 |
| 0071A |
|
203 |
200 |
$0.00 |
| 99442 |
|
270 |
269 |
$0.00 |
| 83037 |
|
72 |
72 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
518 |
510 |
$0.00 |
| 80061 |
Lipid panel |
101 |
101 |
$0.00 |
| 90655 |
|
408 |
402 |
$0.00 |
| 0004A |
|
37 |
37 |
$0.00 |
| 92081 |
|
19 |
19 |
$0.00 |
| 99172 |
|
1,422 |
979 |
$0.00 |
| 99441 |
|
1,303 |
1,256 |
$0.00 |
| 92551 |
|
1,266 |
1,249 |
$0.00 |
| 91307 |
|
460 |
416 |
$0.00 |
| 92567 |
|
87 |
87 |
$0.00 |
| 0001A |
|
210 |
209 |
$0.00 |
| 90688 |
|
434 |
428 |
$0.00 |
| 0072A |
|
164 |
164 |
$0.00 |
| 90674 |
|
404 |
398 |
$0.00 |