| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,397 |
4,022 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,787 |
6,212 |
$98K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,865 |
1,804 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
801 |
725 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,026 |
989 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
270 |
114 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
860 |
818 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
910 |
895 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,456 |
3,257 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
62 |
$3K |
| 92551 |
|
3,599 |
3,488 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
299 |
279 |
$2K |
| 90461 |
|
1,418 |
1,293 |
$1K |
| 99072 |
|
1,115 |
1,022 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
210 |
207 |
$1K |
| 96127 |
|
1,211 |
1,143 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
239 |
229 |
$827.35 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,434 |
2,308 |
$764.15 |
| 90686 |
|
1,615 |
1,544 |
$687.75 |
| 90677 |
|
142 |
140 |
$596.08 |
| 90651 |
|
115 |
111 |
$297.67 |
| 99383 |
|
27 |
27 |
$251.78 |
| 99173 |
|
3,617 |
3,492 |
$222.45 |
| 96161 |
|
487 |
464 |
$200.38 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
84 |
62 |
$87.36 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$53.86 |
| 99406 |
|
14 |
12 |
$47.56 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
18 |
13 |
$26.57 |
| 90670 |
|
130 |
119 |
$8.00 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
25 |
24 |
$7.78 |
| 90633 |
|
34 |
34 |
$4.00 |
| 90698 |
|
130 |
120 |
$4.00 |
| 3078F |
|
720 |
646 |
$0.02 |
| 3074F |
|
769 |
693 |
$0.02 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
205 |
180 |
$0.00 |
| 90734 |
|
41 |
38 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
86 |
59 |
$0.00 |
| S9999 |
Sales tax |
14 |
13 |
$0.00 |
| 3725F |
|
31 |
20 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
122 |
101 |
$0.00 |
| 1036F |
|
532 |
473 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,323 |
3,069 |
$0.00 |
| 3008F |
|
579 |
503 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,095 |
993 |
$0.00 |
| 90680 |
|
41 |
41 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
171 |
114 |
$0.00 |
| 3079F |
|
97 |
83 |
$0.00 |
| 90697 |
|
42 |
42 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
87 |
52 |
$0.00 |
| 90619 |
|
19 |
19 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |