| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,644 |
10,145 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
947 |
939 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,004 |
992 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,052 |
983 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,161 |
3,994 |
$13K |
| 90686 |
|
2,356 |
2,315 |
$13K |
| 92552 |
|
1,948 |
1,939 |
$13K |
| 92551 |
|
1,264 |
1,248 |
$10K |
| 99460 |
|
153 |
153 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
367 |
310 |
$8K |
| 85018 |
|
4,951 |
4,801 |
$6K |
| 90651 |
|
165 |
163 |
$3K |
| 99173 |
|
3,311 |
3,301 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
330 |
330 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
81 |
$1K |
| 90670 |
|
467 |
400 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
292 |
290 |
$1K |
| 90648 |
|
446 |
385 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
655 |
633 |
$1K |
| 81002 |
|
879 |
867 |
$694.99 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
399 |
399 |
$615.90 |
| 99000 |
|
3,002 |
2,947 |
$571.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
975 |
961 |
$488.12 |
| 90723 |
|
207 |
162 |
$358.75 |
| 36415 |
Collection of venous blood by venipuncture |
5,102 |
4,985 |
$320.58 |
| 92081 |
|
681 |
671 |
$316.38 |
| 90734 |
|
85 |
85 |
$270.00 |
| 90680 |
|
138 |
111 |
$250.75 |
| 82962 |
|
1,818 |
1,746 |
$186.19 |
| 90633 |
|
56 |
56 |
$153.00 |
| 90710 |
|
48 |
42 |
$81.00 |
| 90715 |
|
13 |
13 |
$81.00 |
| 3008F |
|
14,388 |
13,727 |
$80.27 |
| 3074F |
|
9,218 |
8,895 |
$80.19 |
| 3075F |
|
1,880 |
1,843 |
$80.01 |
| 90697 |
|
13 |
13 |
$63.00 |
| 90688 |
|
39 |
39 |
$44.60 |
| 99442 |
|
115 |
114 |
$38.86 |
| 90620 |
|
24 |
24 |
$27.00 |
| 3079F |
|
2,924 |
2,845 |
$20.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,518 |
1,503 |
$0.25 |
| 3078F |
|
9,153 |
8,814 |
$0.19 |
| 3077F |
|
1,507 |
1,451 |
$0.02 |
| G8482 |
Influenza immunization administered or previously received |
448 |
448 |
$0.01 |
| 3725F |
|
2,019 |
1,996 |
$0.01 |
| 1036F |
|
2,256 |
2,217 |
$0.00 |
| 97802 |
|
105 |
105 |
$0.00 |
| 99441 |
|
572 |
542 |
$0.00 |
| 3080F |
|
313 |
299 |
$0.00 |
| 85032 |
|
65 |
65 |
$0.00 |
| 99462 |
|
180 |
99 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
105 |
105 |
$0.00 |
| 99172 |
|
37 |
37 |
$0.00 |
| 81000 |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
105 |
105 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
147 |
146 |
$0.00 |
| 99401 |
|
105 |
105 |
$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) |
539 |
535 |
$0.00 |
| 1160F |
|
2,075 |
2,030 |
$0.00 |
| 1159F |
|
2,013 |
1,968 |
$0.00 |
| 81025 |
|
40 |
40 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
28 |
28 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
26 |
26 |
$0.00 |