| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,097 |
6,362 |
$582K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,748 |
3,209 |
$169K |
| 99442 |
|
1,203 |
1,101 |
$78K |
| 99443 |
|
589 |
574 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
366 |
366 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,015 |
1,872 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
253 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
276 |
276 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
289 |
289 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
111 |
110 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
121 |
121 |
$13K |
| 90756 |
|
382 |
382 |
$10K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
838 |
837 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
666 |
638 |
$9K |
| 90461 |
|
272 |
261 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
99 |
$9K |
| H0001 |
Alcohol and/or drug assessment |
686 |
684 |
$6K |
| 92551 |
|
347 |
345 |
$4K |
| 93000 |
|
429 |
425 |
$4K |
| 90651 |
|
73 |
73 |
$3K |
| 36410 |
|
889 |
863 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
666 |
665 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
92 |
$2K |
| 83013 |
|
55 |
55 |
$2K |
| 99051 |
|
487 |
403 |
$2K |
| 90674 |
|
48 |
48 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$892.74 |
| 90686 |
|
1,023 |
1,021 |
$834.99 |
| 86580 |
|
97 |
94 |
$802.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
63 |
$798.56 |
| 92552 |
|
24 |
24 |
$693.18 |
| 0012A |
|
19 |
19 |
$682.99 |
| 0011A |
|
15 |
15 |
$529.19 |
| 36415 |
Collection of venous blood by venipuncture |
1,394 |
1,387 |
$498.78 |
| 83655 |
|
28 |
28 |
$321.40 |
| 83014 |
|
53 |
53 |
$260.03 |
| G9275 |
Documentation that patient is a current non-tobacco user |
805 |
804 |
$108.00 |
| 99173 |
|
354 |
353 |
$105.62 |
| 81001 |
|
84 |
83 |
$77.24 |
| 96127 |
|
295 |
295 |
$75.39 |
| 85018 |
|
40 |
40 |
$67.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$24.86 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
576 |
574 |
$20.00 |
| 99000 |
|
2,424 |
2,233 |
$0.02 |
| 4293F |
|
621 |
621 |
$0.00 |
| 1000F |
|
767 |
764 |
$0.00 |
| 90744 |
|
28 |
28 |
$0.00 |
| 1036F |
|
682 |
681 |
$0.00 |
| 3008F |
|
985 |
985 |
$0.00 |
| 3049F |
|
31 |
31 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
339 |
337 |
$0.00 |
| 90656 |
|
52 |
52 |
$0.00 |
| 3016F |
|
490 |
488 |
$0.00 |
| 3725F |
|
755 |
752 |
$0.00 |
| 99401 |
|
29 |
29 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
32 |
32 |
$0.00 |
| 3050F |
|
51 |
50 |
$0.00 |
| 90734 |
|
46 |
45 |
$0.00 |
| 80061 |
Lipid panel |
15 |
15 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 99080 |
|
51 |
25 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
14 |
14 |
$0.00 |