| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,331 |
3,782 |
$377K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,327 |
4,812 |
$313K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,301 |
2,062 |
$206K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,191 |
2,068 |
$198K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,772 |
1,673 |
$173K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
304 |
290 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,086 |
925 |
$95K |
| 94010 |
|
3,062 |
2,773 |
$82K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,183 |
3,869 |
$80K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,420 |
3,048 |
$58K |
| 92570 |
|
1,342 |
1,205 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,056 |
1,914 |
$22K |
| 94664 |
|
1,181 |
1,083 |
$16K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
944 |
897 |
$10K |
| 92587 |
|
983 |
948 |
$9K |
| 2015F |
|
801 |
730 |
$5K |
| 96112 |
|
42 |
42 |
$3K |
| 99174 |
|
1,215 |
1,190 |
$2K |
| 99381 |
|
17 |
12 |
$1K |
| 30901 |
|
15 |
15 |
$789.77 |
| 90474 |
|
72 |
67 |
$725.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$300.99 |
| 90680 |
|
85 |
80 |
$0.00 |
| 3352F |
|
948 |
907 |
$0.00 |
| 90686 |
|
832 |
734 |
$0.00 |
| 90698 |
|
208 |
186 |
$0.00 |
| 3011F |
|
53 |
53 |
$0.00 |
| 90677 |
|
98 |
96 |
$0.00 |
| 90716 |
|
17 |
12 |
$0.00 |
| 90651 |
|
576 |
566 |
$0.00 |
| 90656 |
|
167 |
167 |
$0.00 |
| 90744 |
|
74 |
57 |
$0.00 |
| 90619 |
|
135 |
135 |
$0.00 |
| 90696 |
|
86 |
73 |
$0.00 |
| 90670 |
|
456 |
427 |
$0.00 |
| 90621 |
|
171 |
159 |
$0.00 |
| 90633 |
|
207 |
194 |
$0.00 |
| 90734 |
|
135 |
121 |
$0.00 |
| 90715 |
|
91 |
89 |
$0.00 |
| 90710 |
|
98 |
85 |
$0.00 |
| 90700 |
|
26 |
25 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |