| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,529 |
14,601 |
$140K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,046 |
6,868 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,898 |
1,840 |
$89K |
| 92551 |
|
7,698 |
7,591 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,146 |
4,078 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,184 |
2,843 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,884 |
2,843 |
$27K |
| G9920 |
Screening performed and negative |
7,098 |
6,989 |
$26K |
| 90461 |
|
2,066 |
2,039 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,539 |
2,516 |
$13K |
| 99381 |
|
136 |
136 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,740 |
6,609 |
$12K |
| 90670 |
|
1,713 |
1,694 |
$11K |
| 90698 |
|
1,374 |
1,359 |
$9K |
| 99406 |
|
5,260 |
5,198 |
$9K |
| 90686 |
|
1,428 |
1,426 |
$8K |
| 90680 |
|
1,022 |
1,012 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,484 |
1,478 |
$7K |
| 90744 |
|
792 |
783 |
$6K |
| 99383 |
|
78 |
78 |
$5K |
| 90633 |
|
826 |
816 |
$5K |
| 90716 |
|
678 |
673 |
$4K |
| 90697 |
|
118 |
118 |
$4K |
| 90707 |
|
649 |
644 |
$4K |
| 90677 |
|
303 |
301 |
$4K |
| 90651 |
|
448 |
447 |
$3K |
| 90700 |
|
461 |
457 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
5,050 |
4,990 |
$3K |
| 90734 |
|
353 |
352 |
$2K |
| 90688 |
|
347 |
338 |
$2K |
| 99188 |
|
1,025 |
1,014 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
113 |
$1K |
| 90672 |
|
210 |
210 |
$1K |
| 99382 |
|
37 |
37 |
$940.43 |
| 90710 |
|
84 |
83 |
$909.00 |
| 90656 |
|
158 |
158 |
$903.00 |
| 90715 |
|
132 |
132 |
$771.40 |
| 92081 |
|
654 |
644 |
$724.75 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
451 |
450 |
$692.00 |
| 90713 |
|
91 |
91 |
$585.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
750 |
746 |
$516.92 |
| 90685 |
|
76 |
76 |
$480.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
8,257 |
8,133 |
$466.60 |
| 99173 |
|
5,773 |
5,696 |
$394.10 |
| 96127 |
|
1,379 |
1,376 |
$384.46 |
| 90696 |
|
53 |
53 |
$322.00 |
| 90620 |
|
46 |
45 |
$243.00 |
| 0071A |
|
41 |
41 |
$240.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
48 |
$228.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
216 |
216 |
$216.77 |
| 0072A |
|
35 |
35 |
$200.00 |
| 90648 |
|
27 |
27 |
$147.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$146.90 |
| 96161 |
|
558 |
539 |
$122.53 |
| 3008F |
|
8,039 |
7,914 |
$114.30 |
| S9451 |
Exercise classes, non-physician provider, per session |
7,878 |
7,764 |
$110.00 |
| 90660 |
|
13 |
13 |
$78.00 |
| 85018 |
|
232 |
231 |
$43.48 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
724 |
721 |
$36.26 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
5,862 |
5,748 |
$30.14 |
| 81002 |
|
169 |
167 |
$13.60 |
| 4004F |
|
1,873 |
1,822 |
$7.50 |
| 96160 |
|
5,502 |
5,403 |
$4.58 |
| 1220F |
|
207 |
207 |
$0.00 |
| 3351F |
|
45 |
45 |
$0.00 |
| 91307 |
|
72 |
67 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$0.00 |
| 99408 |
|
625 |
621 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
493 |
472 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
41 |
$0.00 |