| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,007 |
2,914 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,702 |
10,380 |
$111K |
| 92552 |
|
7,887 |
7,839 |
$76K |
| 90688 |
|
6,885 |
6,734 |
$40K |
| G9920 |
Screening performed and negative |
9,601 |
9,530 |
$37K |
| 99381 |
|
285 |
278 |
$31K |
| 90700 |
|
3,460 |
3,396 |
$20K |
| 90713 |
|
2,689 |
2,647 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,280 |
6,798 |
$17K |
| 69210 |
|
565 |
549 |
$17K |
| 0072A |
|
733 |
728 |
$16K |
| 0071A |
|
695 |
693 |
$16K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,588 |
3,525 |
$14K |
| 86580 |
|
1,856 |
1,833 |
$14K |
| 90647 |
|
2,259 |
2,217 |
$14K |
| 90685 |
|
2,252 |
2,203 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,896 |
6,498 |
$12K |
| 90670 |
|
1,841 |
1,806 |
$11K |
| 90716 |
|
1,693 |
1,659 |
$10K |
| 90707 |
|
1,727 |
1,689 |
$9K |
| 90633 |
|
1,577 |
1,539 |
$8K |
| 90680 |
|
1,136 |
1,114 |
$8K |
| 90651 |
|
1,332 |
1,312 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
797 |
792 |
$7K |
| 0154A |
|
273 |
273 |
$5K |
| 0073A |
|
157 |
157 |
$4K |
| 90744 |
|
530 |
524 |
$4K |
| 0082A |
|
187 |
187 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,738 |
4,714 |
$3K |
| 90671 |
|
523 |
512 |
$3K |
| 0081A |
|
174 |
174 |
$3K |
| 0083A |
|
89 |
88 |
$2K |
| 99383 |
|
123 |
123 |
$2K |
| 90480 |
|
38 |
37 |
$2K |
| 0124A |
|
55 |
55 |
$1K |
| 90734 |
|
288 |
285 |
$1K |
| 90619 |
|
211 |
210 |
$1K |
| 90715 |
|
155 |
155 |
$930.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,217 |
5,114 |
$777.56 |
| 90620 |
|
107 |
105 |
$636.00 |
| 0173A |
|
26 |
26 |
$520.00 |
| 99188 |
|
1,718 |
1,700 |
$213.84 |
| 90677 |
|
33 |
33 |
$200.91 |
| 91319 |
|
13 |
12 |
$175.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,399 |
4,378 |
$158.82 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,809 |
1,793 |
$126.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,017 |
1,928 |
$59.30 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,288 |
1,264 |
$22.04 |
| 99173 |
|
625 |
599 |
$3.46 |
| 1036F |
|
639 |
635 |
$0.00 |
| 85027 |
|
235 |
234 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
314 |
304 |
$0.00 |
| 91307 |
|
479 |
420 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
82 |
81 |
$0.00 |
| 96161 |
|
31 |
31 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
27 |
$0.00 |
| 99443 |
|
16 |
15 |
$0.00 |
| 96160 |
|
535 |
528 |
$0.00 |
| 99408 |
|
431 |
430 |
$0.00 |
| 83655 |
|
385 |
382 |
$0.00 |
| 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 |
1,132 |
1,110 |
$0.00 |
| 81003 |
|
220 |
211 |
$0.00 |
| 99382 |
|
15 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
118 |
117 |
$0.00 |
| 0053A |
|
12 |
12 |
$0.00 |
| 82465 |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$0.00 |