| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,007 |
13,668 |
$72K |
| 92551 |
|
4,594 |
4,580 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,986 |
1,946 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,799 |
1,771 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
353 |
352 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,542 |
6,470 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,161 |
1,003 |
$8K |
| 90686 |
|
1,098 |
1,090 |
$6K |
| 90688 |
|
952 |
949 |
$4K |
| 90670 |
|
527 |
522 |
$3K |
| 90651 |
|
337 |
334 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,113 |
1,104 |
$2K |
| 90698 |
|
200 |
198 |
$1K |
| 86580 |
|
181 |
176 |
$960.30 |
| 90633 |
|
163 |
161 |
$884.75 |
| 90700 |
|
123 |
122 |
$625.75 |
| 99050 |
|
242 |
238 |
$540.00 |
| 99173 |
|
3,563 |
3,554 |
$533.30 |
| 90680 |
|
85 |
85 |
$488.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
116 |
116 |
$428.30 |
| 90734 |
|
110 |
110 |
$423.36 |
| 90685 |
|
78 |
74 |
$386.99 |
| 90687 |
|
54 |
54 |
$286.00 |
| 90707 |
|
42 |
42 |
$198.00 |
| 90716 |
|
42 |
42 |
$197.00 |
| 90744 |
|
28 |
28 |
$183.00 |
| 90656 |
|
90 |
90 |
$180.00 |
| 90621 |
|
38 |
36 |
$165.00 |
| 99383 |
|
12 |
12 |
$122.78 |
| 90715 |
|
27 |
27 |
$110.00 |
| 92552 |
|
177 |
176 |
$50.07 |
| 90619 |
|
12 |
12 |
$50.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
88 |
88 |
$20.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$9.50 |
| 97803 |
|
3,644 |
3,629 |
$3.68 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,268 |
1,261 |
$1.63 |
| 97802 |
|
217 |
216 |
$1.27 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,850 |
1,845 |
$1.11 |
| 3008F |
|
5,628 |
5,590 |
$0.90 |
| 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 |
2,699 |
2,694 |
$0.90 |
| 3725F |
|
1,236 |
1,229 |
$0.30 |
| 3074F |
|
333 |
332 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
58 |
58 |
$0.00 |
| 99172 |
|
14 |
14 |
$0.00 |
| 92081 |
|
449 |
449 |
$0.00 |
| 3078F |
|
333 |
330 |
$0.00 |
| 99401 |
|
58 |
58 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |