| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,337 |
5,704 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,091 |
4,035 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,953 |
2,806 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,518 |
1,515 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,139 |
1,129 |
$22K |
| 99401 |
|
3,245 |
3,243 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
858 |
858 |
$8K |
| H0001 |
Alcohol and/or drug assessment |
1,400 |
1,400 |
$6K |
| 92551 |
|
3,597 |
3,594 |
$5K |
| 99173 |
|
2,698 |
2,695 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
180 |
176 |
$4K |
| 99441 |
|
60 |
56 |
$2K |
| 90660 |
|
92 |
92 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,556 |
2,553 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,352 |
3,187 |
$1K |
| 97802 |
|
3,559 |
3,556 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,180 |
1,180 |
$1K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,298 |
1,298 |
$1K |
| 0071A |
|
42 |
42 |
$960.00 |
| 99442 |
|
17 |
16 |
$924.30 |
| 0072A |
|
33 |
33 |
$565.11 |
| 90686 |
|
1,013 |
1,012 |
$492.54 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$330.00 |
| 90461 |
|
1,412 |
1,402 |
$292.50 |
| 90716 |
|
41 |
41 |
$153.47 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$127.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
47 |
$80.90 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,034 |
2,032 |
$67.50 |
| 90715 |
|
95 |
95 |
$35.65 |
| 91307 |
|
37 |
36 |
$0.18 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
747 |
747 |
$0.00 |
| 3725F |
|
1,314 |
1,314 |
$0.00 |
| 3016F |
|
1,080 |
1,080 |
$0.00 |
| 90670 |
|
135 |
135 |
$0.00 |
| 99072 |
|
1,864 |
1,733 |
$0.00 |
| 90734 |
|
204 |
204 |
$0.00 |
| 90658 |
|
80 |
80 |
$0.00 |
| 90633 |
|
147 |
146 |
$0.00 |
| 90648 |
|
15 |
15 |
$0.00 |
| 99080 |
|
557 |
42 |
$0.00 |
| 3008F |
|
3,535 |
3,530 |
$0.00 |
| 1000F |
|
1,079 |
1,079 |
$0.00 |
| 1036F |
|
1,309 |
1,309 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 90651 |
|
90 |
90 |
$0.00 |