| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,534 |
7,606 |
$729K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,230 |
6,134 |
$387K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,474 |
1,356 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,411 |
1,306 |
$163K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,808 |
3,401 |
$128K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
485 |
471 |
$53K |
| 99402 |
|
4,406 |
3,126 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
452 |
435 |
$32K |
| 90461 |
|
1,563 |
1,291 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
584 |
534 |
$16K |
| 99381 |
|
102 |
95 |
$14K |
| 99497 |
|
926 |
777 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
99 |
$13K |
| 99383 |
|
91 |
80 |
$12K |
| 99382 |
|
82 |
72 |
$11K |
| 99215 |
Prolong outpt/office vis |
56 |
53 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,292 |
1,187 |
$9K |
| 99401 |
|
302 |
260 |
$7K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
178 |
151 |
$2K |
| 99384 |
|
22 |
14 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
296 |
248 |
$2K |
| 99385 |
|
20 |
19 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$2K |
| 90633 |
|
885 |
783 |
$1K |
| 90680 |
|
834 |
779 |
$1K |
| 90648 |
|
576 |
502 |
$1K |
| 90686 |
|
171 |
159 |
$971.75 |
| 90670 |
|
978 |
869 |
$857.58 |
| 90473 |
|
132 |
103 |
$672.28 |
| 90651 |
|
106 |
93 |
$504.22 |
| 99403 |
|
457 |
284 |
$317.68 |
| 90474 |
|
100 |
99 |
$252.00 |
| 92551 |
|
103 |
79 |
$181.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$106.93 |
| 90697 |
|
88 |
82 |
$47.00 |
| 90671 |
|
248 |
240 |
$22.00 |
| 90716 |
|
457 |
392 |
$14.00 |
| 90698 |
|
87 |
77 |
$10.00 |
| 90696 |
|
100 |
86 |
$2.00 |
| 90707 |
|
165 |
152 |
$2.00 |
| 90677 |
|
13 |
13 |
$1.00 |
| 90723 |
|
194 |
178 |
$0.00 |
| 90713 |
|
42 |
38 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90710 |
|
82 |
68 |
$0.00 |
| 90700 |
|
64 |
58 |
$0.00 |
| 99173 |
|
67 |
55 |
$0.00 |
| 99188 |
|
16 |
13 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |