| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,094 |
1,089 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,689 |
2,487 |
$43K |
| 99381 |
|
294 |
293 |
$16K |
| 92552 |
|
3,264 |
3,255 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,072 |
998 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,386 |
2,357 |
$9K |
| 90648 |
|
570 |
569 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,164 |
1,163 |
$3K |
| 90723 |
|
337 |
336 |
$3K |
| 90670 |
|
392 |
392 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,385 |
1,379 |
$2K |
| G9920 |
Screening performed and negative |
515 |
507 |
$2K |
| 90681 |
|
216 |
215 |
$1K |
| 90671 |
|
159 |
159 |
$1K |
| 94760 |
|
971 |
817 |
$1K |
| 85018 |
|
660 |
527 |
$1K |
| 90686 |
|
220 |
220 |
$1K |
| 86580 |
|
273 |
269 |
$829.11 |
| 99215 |
Prolong outpt/office vis |
44 |
43 |
$788.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
40 |
$668.16 |
| 99383 |
|
195 |
195 |
$531.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
290 |
280 |
$487.00 |
| 81003 |
|
414 |
358 |
$253.77 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
740 |
737 |
$238.84 |
| 99188 |
|
371 |
371 |
$235.20 |
| 99382 |
|
44 |
44 |
$153.96 |
| 99384 |
|
68 |
68 |
$143.28 |
| 99173 |
|
2,640 |
2,632 |
$124.65 |
| 96127 |
|
25 |
25 |
$111.22 |
| A4614 |
Peak expiratory flow rate meter, hand held |
629 |
629 |
$94.57 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
147 |
$86.04 |
| 94010 |
|
589 |
589 |
$84.71 |
| 90633 |
|
132 |
132 |
$83.70 |
| 90651 |
|
128 |
128 |
$36.00 |
| 90707 |
|
36 |
36 |
$36.00 |
| 90716 |
|
34 |
34 |
$27.00 |
| 90710 |
|
52 |
52 |
$18.00 |
| 90700 |
|
81 |
81 |
$18.00 |
| 90713 |
|
40 |
40 |
$18.00 |
| 90734 |
|
91 |
91 |
$18.00 |
| 90620 |
|
36 |
36 |
$9.00 |
| 90696 |
|
54 |
54 |
$9.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
296 |
296 |
$0.60 |
| 96156 |
|
12 |
12 |
$0.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
325 |
322 |
$0.03 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
79 |
77 |
$0.02 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
49 |
49 |
$0.00 |
| 3008F |
|
197 |
188 |
$0.00 |
| 3352F |
|
299 |
299 |
$0.00 |
| 1220F |
|
429 |
428 |
$0.00 |
| 1005F |
|
692 |
692 |
$0.00 |
| 3353F |
|
40 |
40 |
$0.00 |
| 2010F |
|
29 |
28 |
$0.00 |
| 92567 |
|
45 |
44 |
$0.00 |
| A9150 |
Non-prescription drugs |
13 |
13 |
$0.00 |
| 90715 |
|
36 |
36 |
$0.00 |