| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,143 |
17,505 |
$200K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,982 |
1,955 |
$47K |
| 92551 |
|
5,062 |
5,046 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,623 |
2,909 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,911 |
4,812 |
$26K |
| G9920 |
Screening performed and negative |
6,688 |
6,648 |
$20K |
| 99381 |
|
354 |
353 |
$20K |
| 90686 |
|
2,506 |
2,491 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,397 |
2,380 |
$10K |
| 99215 |
Prolong outpt/office vis |
392 |
381 |
$8K |
| 90670 |
|
1,143 |
1,123 |
$8K |
| 90698 |
|
1,552 |
1,537 |
$7K |
| 90680 |
|
1,288 |
1,275 |
$6K |
| 90671 |
|
920 |
920 |
$6K |
| 99383 |
|
537 |
534 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,209 |
1,177 |
$6K |
| 99384 |
|
246 |
244 |
$6K |
| 90744 |
|
1,107 |
1,103 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,480 |
1,472 |
$5K |
| 90633 |
|
1,012 |
1,009 |
$4K |
| 99382 |
|
288 |
288 |
$4K |
| 90716 |
|
906 |
903 |
$4K |
| 90707 |
|
911 |
908 |
$4K |
| 90700 |
|
790 |
788 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
943 |
940 |
$3K |
| 90651 |
|
440 |
439 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,701 |
1,692 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,152 |
1,133 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
137 |
137 |
$1K |
| 97803 |
|
2,218 |
2,213 |
$1K |
| 90713 |
|
284 |
284 |
$989.73 |
| 90648 |
|
189 |
188 |
$725.37 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$629.68 |
| 90620 |
|
156 |
156 |
$593.91 |
| 90619 |
|
247 |
247 |
$545.76 |
| 90734 |
|
92 |
92 |
$543.00 |
| 97802 |
|
1,316 |
1,304 |
$300.50 |
| 90715 |
|
82 |
82 |
$296.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
69 |
$119.61 |
| 99188 |
|
79 |
79 |
$71.82 |
| 99173 |
|
3,653 |
3,636 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |
| 83655 |
|
629 |
623 |
$0.00 |
| 3008F |
|
4,851 |
4,823 |
$0.00 |
| 1036F |
|
3,354 |
3,351 |
$0.00 |