| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,557 |
5,546 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,969 |
14,060 |
$154K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,738 |
3,686 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,700 |
5,649 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,107 |
4,096 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,307 |
4,226 |
$60K |
| 0124A |
|
480 |
479 |
$19K |
| 90686 |
|
10,556 |
10,462 |
$18K |
| 90619 |
|
916 |
914 |
$16K |
| 0154A |
|
347 |
347 |
$14K |
| 0072A |
|
321 |
321 |
$13K |
| 90697 |
|
1,083 |
1,076 |
$12K |
| 90651 |
|
2,082 |
2,078 |
$11K |
| 0001A |
|
452 |
452 |
$11K |
| 0002A |
|
294 |
294 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,380 |
1,336 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
327 |
327 |
$8K |
| 0004A |
|
277 |
277 |
$8K |
| 0081A |
|
187 |
187 |
$7K |
| 0071A |
|
248 |
241 |
$7K |
| 92551 |
|
12,647 |
12,616 |
$7K |
| 0082A |
|
143 |
143 |
$6K |
| 90670 |
|
3,702 |
3,644 |
$5K |
| 99381 |
|
187 |
185 |
$5K |
| 0074A |
|
114 |
114 |
$5K |
| 90698 |
|
2,526 |
2,490 |
$4K |
| 90680 |
|
2,275 |
2,236 |
$4K |
| 99188 |
|
2,704 |
2,625 |
$3K |
| 90744 |
|
1,251 |
1,219 |
$3K |
| 85018 |
|
14,523 |
14,465 |
$3K |
| 0054A |
|
37 |
37 |
$1K |
| 99173 |
|
9,949 |
9,917 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
530 |
526 |
$1K |
| 90633 |
|
2,197 |
2,172 |
$1K |
| 90621 |
|
1,230 |
1,226 |
$1K |
| 0173A |
|
26 |
26 |
$1K |
| 99401 |
|
343 |
339 |
$1K |
| 81000 |
|
5,437 |
5,420 |
$1K |
| 97802 |
|
344 |
340 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
308 |
304 |
$974.45 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
499 |
495 |
$935.22 |
| 90710 |
|
2,102 |
2,078 |
$819.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
139 |
138 |
$785.36 |
| 90715 |
|
772 |
772 |
$775.86 |
| 90696 |
|
809 |
802 |
$632.16 |
| 0083A |
|
13 |
13 |
$520.00 |
| 90674 |
|
133 |
121 |
$451.64 |
| 99460 |
|
43 |
43 |
$441.24 |
| 90677 |
|
372 |
370 |
$387.00 |
| 85014 |
|
646 |
642 |
$328.04 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$232.29 |
| 86580 |
|
265 |
256 |
$230.63 |
| 90672 |
|
102 |
101 |
$213.21 |
| 99462 |
|
35 |
29 |
$136.89 |
| 90681 |
|
77 |
77 |
$117.00 |
| 90688 |
|
43 |
43 |
$101.16 |
| 90661 |
|
427 |
427 |
$88.44 |
| 90734 |
|
820 |
817 |
$73.89 |
| 90685 |
|
40 |
40 |
$64.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
146 |
$64.26 |
| 90707 |
|
17 |
17 |
$27.81 |
| 90700 |
|
172 |
169 |
$18.54 |
| 90648 |
|
130 |
128 |
$18.54 |
| 99442 |
|
315 |
293 |
$0.00 |
| 92081 |
|
210 |
210 |
$0.00 |
| 3078F |
|
187 |
183 |
$0.00 |
| 81003 |
|
613 |
612 |
$0.00 |
| 91320 |
|
155 |
155 |
$0.00 |
| 91300 |
|
28 |
28 |
$0.00 |
| 90716 |
|
31 |
31 |
$0.00 |
| 99441 |
|
742 |
714 |
$0.00 |
| 90480 |
|
350 |
350 |
$0.00 |
| 3074F |
|
193 |
187 |
$0.00 |
| 96127 |
|
522 |
471 |
$0.00 |
| 90620 |
|
90 |
90 |
$0.00 |
| 91318 |
|
56 |
56 |
$0.00 |
| 91319 |
|
23 |
23 |
$0.00 |