| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,559 |
2,329 |
$173K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,729 |
1,281 |
$47K |
| 96156 |
|
828 |
660 |
$30K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
324 |
286 |
$25K |
| 96167 |
|
1,415 |
1,095 |
$25K |
| 99215 |
Prolong outpt/office vis |
339 |
264 |
$22K |
| 96112 |
|
365 |
324 |
$18K |
| G9920 |
Screening performed and negative |
575 |
492 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
137 |
80 |
$7K |
| 92552 |
|
365 |
311 |
$7K |
| 96150 |
|
317 |
279 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,373 |
1,089 |
$6K |
| 96151 |
|
359 |
321 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
91 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
109 |
93 |
$6K |
| 80061 |
Lipid panel |
604 |
483 |
$5K |
| 97802 |
|
820 |
670 |
$5K |
| 99205 |
Prolong outpt/office vis |
68 |
29 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
298 |
224 |
$5K |
| 96158 |
|
537 |
448 |
$5K |
| 99070 |
|
1,532 |
1,138 |
$4K |
| 97803 |
|
471 |
340 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
61 |
$4K |
| 99354 |
|
92 |
77 |
$3K |
| 90686 |
|
447 |
378 |
$3K |
| 92550 |
|
68 |
54 |
$2K |
| 99417 |
Prolong home eval add 15m |
41 |
39 |
$2K |
| 94060 |
|
19 |
15 |
$954.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
525 |
482 |
$681.83 |
| 94010 |
|
24 |
17 |
$466.65 |
| 85018 |
|
227 |
200 |
$405.15 |
| 92551 |
|
28 |
25 |
$357.80 |
| 90670 |
|
31 |
28 |
$252.00 |
| 90685 |
|
20 |
19 |
$171.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
216 |
198 |
$164.70 |
| 94664 |
|
39 |
26 |
$145.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,382 |
1,138 |
$124.52 |
| 96154 |
|
60 |
55 |
$95.15 |
| 81002 |
|
45 |
41 |
$90.80 |
| 99401 |
|
558 |
485 |
$44.64 |
| 90461 |
|
202 |
168 |
$22.49 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
12 |
$22.26 |
| 99173 |
|
301 |
248 |
$0.00 |
| 99051 |
|
19 |
19 |
$0.00 |
| 99058 |
|
67 |
56 |
$0.00 |