| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,813 |
15,596 |
$866K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,950 |
11,213 |
$537K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,443 |
1,417 |
$138K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,301 |
1,268 |
$113K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,483 |
1,465 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,694 |
4,621 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
277 |
277 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
544 |
532 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
822 |
785 |
$14K |
| 90756 |
|
819 |
812 |
$14K |
| 99215 |
Prolong outpt/office vis |
184 |
177 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
849 |
846 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
775 |
773 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
128 |
$7K |
| 82962 |
|
5,532 |
5,263 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
111 |
$4K |
| 96127 |
|
561 |
552 |
$4K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,027 |
1,016 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,070 |
1,053 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
288 |
278 |
$3K |
| 90658 |
|
270 |
269 |
$2K |
| 99497 |
|
119 |
119 |
$2K |
| 99443 |
|
50 |
50 |
$2K |
| 99442 |
|
71 |
70 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
398 |
395 |
$924.18 |
| G0008 |
Administration of influenza virus vaccine |
586 |
548 |
$887.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
50 |
$738.77 |
| 81000 |
|
293 |
285 |
$724.44 |
| 90674 |
|
60 |
60 |
$432.90 |
| 90688 |
|
45 |
45 |
$356.80 |
| 90686 |
|
33 |
33 |
$304.48 |
| 90656 |
|
17 |
17 |
$255.00 |
| 81025 |
|
25 |
25 |
$154.40 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
110 |
97 |
$118.39 |
| 86580 |
|
15 |
15 |
$89.32 |
| 90661 |
|
19 |
19 |
$36.85 |
| 82948 |
|
13 |
13 |
$34.19 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 1101F |
|
15 |
15 |
$0.00 |