| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,552 |
3,276 |
$428K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
685 |
603 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
562 |
562 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,644 |
1,591 |
$40K |
| 99401 |
|
342 |
276 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
106 |
103 |
$6K |
| 99051 |
|
1,204 |
1,097 |
$6K |
| 90461 |
|
575 |
575 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
33 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
960 |
958 |
$4K |
| 99188 |
|
281 |
281 |
$4K |
| 92551 |
|
379 |
379 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$3K |
| 90474 |
|
114 |
114 |
$2K |
| 97802 |
|
672 |
667 |
$927.75 |
| 90473 |
|
43 |
43 |
$499.95 |
| 99173 |
|
382 |
381 |
$481.29 |
| 36415 |
Collection of venous blood by venipuncture |
411 |
406 |
$337.50 |
| 94664 |
|
12 |
12 |
$179.12 |
| 96160 |
|
57 |
57 |
$176.65 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$157.34 |
| 96127 |
|
18 |
18 |
$75.54 |
| 90744 |
|
183 |
183 |
$31.45 |
| 90686 |
|
473 |
473 |
$23.53 |
| 90671 |
|
165 |
165 |
$0.02 |
| 90698 |
|
101 |
101 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
133 |
115 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
15 |
13 |
$0.00 |
| 90672 |
|
42 |
42 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
100 |
100 |
$0.00 |
| 90633 |
|
43 |
43 |
$0.00 |
| 90670 |
|
130 |
130 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |