| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,193 |
10,913 |
$1.27M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,478 |
3,082 |
$196K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,902 |
4,571 |
$178K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
920 |
920 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
806 |
804 |
$89K |
| 92552 |
|
2,145 |
2,137 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
552 |
519 |
$55K |
| 99401 |
|
2,774 |
2,729 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
250 |
$31K |
| 96156 |
|
1,866 |
1,865 |
$27K |
| 86580 |
|
1,265 |
1,263 |
$13K |
| 97802 |
|
2,156 |
2,108 |
$12K |
| 99402 |
|
271 |
271 |
$9K |
| 90461 |
|
355 |
351 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,022 |
2,018 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
213 |
$3K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
177 |
177 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
153 |
153 |
$2K |
| 99406 |
|
247 |
247 |
$2K |
| H0049 |
Alcohol and/or drug screening |
160 |
160 |
$2K |
| 90670 |
|
113 |
113 |
$1K |
| 0081A |
|
34 |
34 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 90686 |
|
657 |
657 |
$1K |
| 99442 |
|
20 |
16 |
$966.03 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
180 |
180 |
$921.81 |
| 96127 |
|
1,469 |
1,468 |
$880.39 |
| 0071A |
|
18 |
18 |
$752.22 |
| S9470 |
Nutritional counseling, dietitian visit |
2,862 |
2,822 |
$738.98 |
| 0072A |
|
12 |
12 |
$503.63 |
| 90700 |
|
161 |
161 |
$277.00 |
| 90713 |
|
135 |
135 |
$276.00 |
| 90647 |
|
134 |
134 |
$252.00 |
| 99173 |
|
1,501 |
1,499 |
$239.98 |
| 90685 |
|
63 |
63 |
$209.28 |
| 96150 |
|
514 |
512 |
$160.00 |
| 90744 |
|
67 |
67 |
$130.70 |
| 99072 |
|
83 |
81 |
$122.50 |
| 99408 |
|
153 |
153 |
$118.17 |
| 90656 |
|
106 |
106 |
$97.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$48.00 |
| 91307 |
|
32 |
27 |
$15.90 |
| 91308 |
|
54 |
49 |
$14.62 |
| 90707 |
|
25 |
25 |
$1.00 |
| 90716 |
|
28 |
28 |
$1.00 |
| 99080 |
|
147 |
60 |
$0.00 |
| 90672 |
|
43 |
43 |
$0.00 |
| 90680 |
|
91 |
91 |
$0.00 |