| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,299 |
19,678 |
$157K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,590 |
6,363 |
$155K |
| 92551 |
|
10,435 |
10,313 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,397 |
1,366 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,071 |
4,611 |
$42K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,345 |
2,344 |
$35K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
11,255 |
11,093 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,794 |
2,774 |
$21K |
| 90671 |
|
576 |
576 |
$19K |
| G9920 |
Screening performed and negative |
8,904 |
8,782 |
$19K |
| 99381 |
|
290 |
290 |
$19K |
| 99383 |
|
508 |
508 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
712 |
701 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,004 |
4,806 |
$15K |
| 90461 |
|
342 |
342 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
659 |
657 |
$14K |
| 99382 |
|
342 |
341 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,864 |
3,782 |
$13K |
| 90698 |
|
1,084 |
1,075 |
$10K |
| 90697 |
|
292 |
289 |
$10K |
| 90681 |
|
568 |
563 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,533 |
3,482 |
$9K |
| 90710 |
|
256 |
256 |
$6K |
| 99188 |
|
2,101 |
2,082 |
$6K |
| 99406 |
|
3,413 |
3,366 |
$5K |
| 90651 |
|
1,190 |
1,190 |
$5K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
977 |
975 |
$4K |
| 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 |
1,098 |
1,095 |
$4K |
| 99173 |
|
724 |
711 |
$4K |
| 0072A |
|
90 |
88 |
$3K |
| 99384 |
|
143 |
143 |
$3K |
| 90633 |
|
794 |
792 |
$3K |
| 90677 |
|
203 |
202 |
$3K |
| 90744 |
|
576 |
565 |
$3K |
| 90734 |
|
1,238 |
1,238 |
$3K |
| 96161 |
|
1,073 |
1,027 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,922 |
4,847 |
$3K |
| 90670 |
|
549 |
547 |
$3K |
| 0071A |
|
63 |
62 |
$2K |
| 96127 |
|
741 |
738 |
$2K |
| 90716 |
|
833 |
831 |
$2K |
| 0002A |
|
54 |
51 |
$2K |
| 90696 |
|
479 |
475 |
$2K |
| 96160 |
|
3,581 |
3,499 |
$1K |
| 90656 |
|
121 |
121 |
$1K |
| 90707 |
|
789 |
785 |
$1K |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
2,415 |
2,387 |
$1K |
| 3008F |
|
8,464 |
8,386 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
10,865 |
10,698 |
$1K |
| 90686 |
|
1,151 |
1,141 |
$1K |
| 90715 |
|
665 |
665 |
$861.57 |
| 0001A |
|
18 |
17 |
$680.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
330 |
329 |
$546.06 |
| 81002 |
|
1,177 |
1,123 |
$513.04 |
| 90620 |
|
754 |
754 |
$485.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$474.51 |
| 85018 |
|
1,094 |
1,085 |
$384.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
574 |
564 |
$148.49 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
296 |
285 |
$102.90 |
| 90700 |
|
94 |
94 |
$44.82 |
| 87810 |
|
243 |
228 |
$20.00 |
| 90648 |
|
24 |
24 |
$18.00 |
| 99172 |
|
282 |
215 |
$16.76 |
| 90713 |
|
36 |
36 |
$8.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,074 |
1,066 |
$4.42 |
| 4004F |
|
3,581 |
3,500 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$0.00 |
| 87081 |
|
12 |
12 |
$0.00 |
| 96156 |
|
12 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
21 |
21 |
$0.00 |