| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,385 |
8,517 |
$109K |
| 92551 |
|
2,852 |
2,828 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,788 |
2,705 |
$10K |
| 92081 |
|
2,851 |
2,830 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,074 |
1,068 |
$3K |
| 99381 |
|
73 |
72 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,125 |
1,119 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,022 |
1,013 |
$2K |
| G9920 |
Screening performed and negative |
1,032 |
1,021 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
297 |
281 |
$640.44 |
| 99442 |
|
454 |
426 |
$603.60 |
| 99383 |
|
70 |
69 |
$588.85 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
114 |
114 |
$438.48 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
442 |
440 |
$270.40 |
| 90670 |
|
143 |
143 |
$261.00 |
| 90658 |
|
462 |
462 |
$225.00 |
| 90698 |
|
37 |
37 |
$216.00 |
| 90744 |
|
13 |
13 |
$117.00 |
| 90680 |
|
12 |
12 |
$108.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
73 |
$42.78 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
131 |
130 |
$11.65 |
| 90715 |
|
195 |
194 |
$9.00 |
| 90734 |
|
198 |
198 |
$9.00 |
| 90716 |
|
172 |
172 |
$0.00 |
| 85018 |
|
212 |
210 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
340 |
330 |
$0.00 |
| 90651 |
|
130 |
130 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
70 |
68 |
$0.00 |
| 99384 |
|
30 |
27 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
59 |
59 |
$0.00 |
| 1220F |
|
61 |
60 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
15 |
$0.00 |
| 90707 |
|
167 |
167 |
$0.00 |
| 81003 |
|
169 |
161 |
$0.00 |
| 84439 |
|
30 |
30 |
$0.00 |
| 99382 |
|
25 |
24 |
$0.00 |
| 90633 |
|
101 |
101 |
$0.00 |
| 90700 |
|
155 |
155 |
$0.00 |
| 90649 |
|
213 |
212 |
$0.00 |
| 90713 |
|
71 |
71 |
$0.00 |
| 83655 |
|
69 |
69 |
$0.00 |
| 80061 |
Lipid panel |
58 |
56 |
$0.00 |
| 90621 |
|
104 |
98 |
$0.00 |