| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,176 |
2,156 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,135 |
2,119 |
$53K |
| 92552 |
|
7,071 |
7,048 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,556 |
1,541 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,230 |
1,220 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,839 |
1,967 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,866 |
9,093 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,764 |
7,255 |
$10K |
| 85018 |
|
8,694 |
8,591 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
177 |
170 |
$8K |
| 97803 |
|
15,687 |
14,016 |
$6K |
| 0001A |
|
136 |
134 |
$5K |
| 0002A |
|
133 |
130 |
$5K |
| 99173 |
|
5,391 |
5,371 |
$4K |
| 81002 |
|
5,681 |
5,638 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,429 |
1,414 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
280 |
279 |
$1K |
| 90656 |
|
697 |
693 |
$1K |
| 0004A |
|
20 |
20 |
$800.00 |
| 90670 |
|
140 |
139 |
$787.52 |
| 0011A |
|
16 |
16 |
$640.00 |
| 90734 |
|
338 |
301 |
$549.00 |
| 86580 |
|
125 |
125 |
$492.96 |
| 90680 |
|
40 |
38 |
$441.26 |
| 99406 |
|
1,460 |
1,459 |
$391.48 |
| 3008F |
|
14,885 |
13,552 |
$272.80 |
| 90651 |
|
309 |
283 |
$261.00 |
| 90698 |
|
42 |
42 |
$181.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
286 |
276 |
$112.20 |
| 90744 |
|
24 |
24 |
$104.00 |
| 3725F |
|
1,783 |
1,782 |
$82.00 |
| 96127 |
|
702 |
702 |
$81.17 |
| 1000F |
|
241 |
240 |
$80.00 |
| 3016F |
|
631 |
629 |
$80.00 |
| 90716 |
|
27 |
26 |
$54.00 |
| 97802 |
|
28 |
28 |
$49.75 |
| 90686 |
|
255 |
255 |
$45.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
142 |
$40.50 |
| 36415 |
Collection of venous blood by venipuncture |
2,098 |
2,082 |
$40.00 |
| 90633 |
|
14 |
13 |
$36.00 |
| 99497 |
|
30 |
30 |
$25.00 |
| 3074F |
|
5,650 |
5,143 |
$13.20 |
| 3078F |
|
5,054 |
4,627 |
$8.30 |
| 82962 |
|
699 |
697 |
$7.74 |
| 3079F |
|
2,134 |
1,962 |
$6.50 |
| 4004F |
|
322 |
313 |
$6.00 |
| 1157F |
|
1,279 |
1,278 |
$3.00 |
| 3352F |
|
2,099 |
2,098 |
$3.00 |
| 3075F |
|
1,168 |
1,092 |
$2.60 |
| 3353F |
|
117 |
117 |
$1.00 |
| 1160F |
|
377 |
347 |
$1.00 |
| 1159F |
|
307 |
285 |
$1.00 |
| 90715 |
|
32 |
27 |
$1.00 |
| 1036F |
|
1,501 |
1,498 |
$0.60 |
| 1033F |
|
341 |
334 |
$0.60 |
| 3080F |
|
505 |
461 |
$0.30 |
| 3077F |
|
895 |
801 |
$0.30 |
| 1158F |
|
157 |
157 |
$0.30 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
494 |
494 |
$0.07 |
| 1031F |
|
397 |
397 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
423 |
423 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
57 |
57 |
$0.00 |
| 99000 |
|
34 |
34 |
$0.00 |
| 2000F |
|
13 |
13 |
$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 |
368 |
368 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
290 |
290 |
$0.00 |
| 99408 |
|
760 |
760 |
$0.00 |
| 4120F |
|
223 |
221 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 99409 |
|
464 |
463 |
$0.00 |
| 4158F |
|
32 |
32 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |