| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,448 |
3,867 |
$17K |
| 92552 |
|
1,646 |
1,596 |
$6K |
| 94010 |
|
362 |
318 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,047 |
1,960 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
82 |
81 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
160 |
$947.82 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
333 |
330 |
$356.23 |
| G9920 |
Screening performed and negative |
139 |
139 |
$348.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
433 |
433 |
$306.45 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
227 |
$119.42 |
| 90698 |
|
13 |
13 |
$117.00 |
| 90670 |
|
116 |
115 |
$117.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
249 |
232 |
$49.50 |
| 81003 |
|
1,840 |
1,775 |
$39.69 |
| 94760 |
|
257 |
232 |
$23.80 |
| 99173 |
|
1,323 |
1,284 |
$21.17 |
| 85018 |
|
72 |
64 |
$18.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
541 |
508 |
$9.72 |
| 86580 |
|
60 |
57 |
$3.66 |
| 97802 |
|
1,267 |
1,264 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
530 |
529 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
379 |
368 |
$0.00 |
| 96156 |
|
938 |
841 |
$0.00 |
| 85027 |
|
272 |
272 |
$0.00 |
| 99406 |
|
56 |
56 |
$0.00 |
| 1036F |
|
56 |
56 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
246 |
240 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
219 |
218 |
$0.00 |
| 3351F |
|
179 |
166 |
$0.00 |
| 82728 |
|
263 |
262 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
56 |
56 |
$0.00 |
| 90744 |
|
28 |
28 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 92567 |
|
18 |
17 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
178 |
177 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
962 |
617 |
$0.00 |
| 80061 |
Lipid panel |
202 |
200 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
696 |
691 |
$0.00 |
| 96160 |
|
427 |
424 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 84439 |
|
166 |
165 |
$0.00 |
| 85007 |
|
270 |
270 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
170 |
165 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
20 |
20 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
43 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
33 |
32 |
$0.00 |
| 99408 |
|
56 |
56 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
56 |
56 |
$0.00 |
| 90655 |
|
15 |
15 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
43 |
$0.00 |
| 90461 |
|
460 |
97 |
$0.00 |
| 90658 |
|
33 |
33 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |
| 90633 |
|
31 |
31 |
$0.00 |
| 90707 |
|
22 |
22 |
$0.00 |