| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
17,382 |
17,235 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,858 |
18,646 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,209 |
3,119 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,155 |
6,089 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,320 |
3,240 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,887 |
6,827 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,672 |
4,617 |
$25K |
| 99381 |
|
279 |
270 |
$24K |
| 90697 |
|
726 |
722 |
$20K |
| 90670 |
|
2,291 |
2,262 |
$17K |
| 90651 |
|
2,330 |
2,315 |
$15K |
| 99215 |
Prolong outpt/office vis |
434 |
419 |
$10K |
| 90698 |
|
1,438 |
1,422 |
$9K |
| 90680 |
|
1,307 |
1,282 |
$8K |
| 90671 |
|
896 |
894 |
$8K |
| 90686 |
|
3,029 |
3,022 |
$7K |
| 90744 |
|
901 |
887 |
$6K |
| 90633 |
|
1,457 |
1,447 |
$5K |
| 0071A |
|
68 |
68 |
$3K |
| 99383 |
|
95 |
90 |
$2K |
| 83655 |
|
1,788 |
1,779 |
$2K |
| 0072A |
|
50 |
50 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
518 |
513 |
$2K |
| 90696 |
|
512 |
511 |
$2K |
| 90656 |
|
432 |
431 |
$1K |
| 90710 |
|
503 |
501 |
$1K |
| 99382 |
|
42 |
39 |
$1K |
| V5008 |
Hearing screening |
938 |
938 |
$1K |
| 90715 |
|
608 |
606 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
635 |
634 |
$1K |
| 90734 |
|
586 |
581 |
$914.48 |
| 90716 |
|
244 |
244 |
$889.65 |
| 90707 |
|
246 |
246 |
$817.12 |
| 90700 |
|
192 |
191 |
$709.83 |
| 90619 |
|
568 |
568 |
$694.92 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
186 |
178 |
$669.53 |
| 99406 |
|
2,039 |
2,039 |
$486.56 |
| 90660 |
|
52 |
52 |
$458.73 |
| 90648 |
|
110 |
110 |
$429.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,182 |
1,151 |
$399.67 |
| 90685 |
|
77 |
67 |
$392.90 |
| 90621 |
|
239 |
239 |
$382.64 |
| 99173 |
|
4,500 |
4,435 |
$273.64 |
| 90620 |
|
44 |
44 |
$220.28 |
| 99442 |
|
131 |
126 |
$145.23 |
| 90657 |
|
13 |
13 |
$116.82 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$112.06 |
| 94760 |
|
363 |
358 |
$91.35 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,638 |
2,607 |
$66.00 |
| 99451 |
|
21 |
20 |
$34.25 |
| G9920 |
Screening performed and negative |
5,162 |
5,143 |
$2.38 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,105 |
2,102 |
$0.47 |
| G9919 |
Screening performed and positive and provision of recommendations |
22 |
22 |
$0.04 |
| 90461 |
|
1,190 |
1,176 |
$0.00 |
| 99408 |
|
2,369 |
2,369 |
$0.00 |
| 3028F |
|
610 |
603 |
$0.00 |
| 1220F |
|
1,231 |
1,226 |
$0.00 |
| 3351F |
|
212 |
211 |
$0.00 |
| 87650 |
|
18 |
18 |
$0.00 |