| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,229 |
9,750 |
$371K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,246 |
925 |
$287K |
| Z1034 |
|
3,158 |
2,151 |
$178K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
460 |
460 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,396 |
5,115 |
$47K |
| Z1032 |
|
149 |
149 |
$24K |
| Z6500 |
|
143 |
143 |
$17K |
| Z6410 |
|
1,094 |
895 |
$16K |
| Z6400 |
|
1,066 |
922 |
$16K |
| J3490 |
Unclassified drugs |
150 |
120 |
$16K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,259 |
1,259 |
$15K |
| Z6406 |
|
979 |
853 |
$15K |
| Z6204 |
|
856 |
794 |
$13K |
| 99201 |
|
126 |
126 |
$12K |
| 99000 |
|
2,824 |
2,798 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
287 |
285 |
$9K |
| 92551 |
|
1,343 |
1,341 |
$9K |
| 99401 |
|
480 |
478 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
185 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
72 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
93 |
$3K |
| 85018 |
|
1,962 |
1,942 |
$3K |
| 81025 |
|
955 |
947 |
$3K |
| 90658 |
|
242 |
239 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,692 |
1,663 |
$2K |
| Z6304 |
|
155 |
154 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
729 |
721 |
$1K |
| 0124A |
|
50 |
50 |
$1K |
| 90670 |
|
125 |
125 |
$967.50 |
| 90648 |
|
113 |
112 |
$877.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
158 |
$763.65 |
| 0003A |
|
22 |
22 |
$760.00 |
| 86580 |
|
186 |
186 |
$657.83 |
| 83655 |
|
62 |
61 |
$641.72 |
| 90649 |
|
78 |
77 |
$513.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$394.92 |
| 0054A |
|
19 |
19 |
$380.00 |
| 99385 |
|
112 |
111 |
$370.02 |
| 90716 |
|
40 |
40 |
$315.00 |
| 90723 |
|
42 |
42 |
$292.50 |
| 90686 |
|
40 |
40 |
$270.00 |
| Z6414 |
|
16 |
13 |
$227.10 |
| 90707 |
|
26 |
26 |
$207.00 |
| 81002 |
|
721 |
719 |
$196.82 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
81 |
80 |
$187.50 |
| 92081 |
|
655 |
655 |
$135.36 |
| 90734 |
|
46 |
46 |
$135.00 |
| 90715 |
|
30 |
30 |
$126.00 |
| 90680 |
|
16 |
16 |
$108.00 |
| 90744 |
|
13 |
13 |
$90.50 |
| 90710 |
|
14 |
14 |
$45.00 |
| 3074F |
|
1,596 |
1,472 |
$0.30 |
| 3008F |
|
492 |
490 |
$0.30 |
| 3078F |
|
1,617 |
1,481 |
$0.30 |
| 3075F |
|
281 |
270 |
$0.00 |
| 1126F |
|
192 |
179 |
$0.00 |
| 3079F |
|
442 |
424 |
$0.00 |
| 96156 |
|
55 |
55 |
$0.00 |
| 99386 |
|
43 |
43 |
$0.00 |
| 1125F |
|
62 |
59 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
460 |
456 |
$0.00 |
| 1159F |
|
263 |
246 |
$0.00 |
| 1158F |
|
34 |
34 |
$0.00 |
| 1160F |
|
241 |
225 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
31 |
$0.00 |
| 3077F |
|
16 |
16 |
$0.00 |