| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,807 |
12,211 |
$852K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,769 |
5,508 |
$554K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,084 |
6,916 |
$308K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,075 |
1,927 |
$181K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,831 |
1,794 |
$168K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,468 |
1,442 |
$131K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,938 |
4,852 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
647 |
624 |
$63K |
| 99215 |
Prolong outpt/office vis |
270 |
252 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
885 |
844 |
$35K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,228 |
2,149 |
$24K |
| D0190 |
|
834 |
820 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
370 |
248 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
387 |
385 |
$8K |
| 99173 |
|
1,419 |
1,385 |
$7K |
| D0145 |
Oral evaluation for a patient under three years of age |
174 |
167 |
$5K |
| D1206 |
Topical application of fluoride varnish |
205 |
198 |
$5K |
| 99460 |
|
16 |
16 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$1K |
| 90480 |
|
25 |
25 |
$995.28 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
26 |
25 |
$758.64 |
| 99177 |
|
101 |
98 |
$724.83 |
| 96127 |
|
31 |
30 |
$396.00 |
| 96380 |
|
12 |
12 |
$254.04 |
| 90461 |
|
2,859 |
2,805 |
$201.62 |
| 90686 |
|
1,969 |
1,932 |
$120.22 |
| 90656 |
|
515 |
515 |
$85.92 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,905 |
2,758 |
$31.82 |
| 90670 |
|
374 |
369 |
$0.00 |
| 3078F |
|
12,040 |
11,351 |
$0.00 |
| 1159F |
|
6,303 |
5,956 |
$0.00 |
| 90648 |
|
480 |
478 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90710 |
|
40 |
39 |
$0.00 |
| 90734 |
|
28 |
27 |
$0.00 |
| 90633 |
|
42 |
38 |
$0.00 |
| 99051 |
|
28 |
28 |
$0.00 |
| 99072 |
|
45 |
45 |
$0.00 |
| 3074F |
|
12,242 |
11,550 |
$0.00 |
| 90723 |
|
207 |
207 |
$0.00 |
| 99070 |
|
527 |
503 |
$0.00 |
| 90677 |
|
185 |
184 |
$0.00 |
| 90651 |
|
110 |
107 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
21 |
17 |
$0.00 |