| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,161 |
10,792 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,127 |
8,601 |
$15K |
| 99385 |
|
790 |
697 |
$2K |
| 99386 |
|
580 |
536 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
117 |
$1K |
| 99215 |
Prolong outpt/office vis |
431 |
431 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
533 |
495 |
$966.43 |
| 90674 |
|
495 |
467 |
$778.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
786 |
709 |
$751.15 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,812 |
1,470 |
$634.19 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,096 |
931 |
$355.29 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
233 |
167 |
$246.18 |
| 90656 |
|
103 |
96 |
$204.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
171 |
152 |
$133.67 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$126.28 |
| 97802 |
|
99 |
90 |
$94.15 |
| 99406 |
|
364 |
323 |
$59.24 |
| 92552 |
|
40 |
40 |
$13.77 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
16 |
$7.50 |
| 4013F |
|
1,002 |
997 |
$0.00 |
| 97803 |
|
73 |
67 |
$0.00 |
| 3078F |
|
1,475 |
1,472 |
$0.00 |
| 99401 |
|
158 |
139 |
$0.00 |
| 3077F |
|
258 |
257 |
$0.00 |
| 99173 |
|
47 |
46 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
37 |
35 |
$0.00 |
| 3074F |
|
1,190 |
1,188 |
$0.00 |
| 3079F |
|
934 |
932 |
$0.00 |
| 4010F |
|
1,206 |
1,193 |
$0.00 |
| 3044F |
|
472 |
470 |
$0.00 |
| 3075F |
|
1,098 |
1,095 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
126 |
117 |
$0.00 |
| 2010F |
|
104 |
104 |
$0.00 |
| 2001F |
|
104 |
104 |
$0.00 |
| 3008F |
|
102 |
102 |
$0.00 |
| 3080F |
|
51 |
51 |
$0.00 |
| 2000F |
|
105 |
104 |
$0.00 |
| 93000 |
|
14 |
14 |
$0.00 |