| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,288 |
6,715 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,344 |
1,343 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,274 |
1,274 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,800 |
3,551 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
761 |
731 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
179 |
178 |
$1K |
| 92552 |
|
825 |
824 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,150 |
1,128 |
$1K |
| 90651 |
|
342 |
337 |
$873.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
544 |
544 |
$792.82 |
| 90686 |
|
311 |
311 |
$603.00 |
| 90734 |
|
183 |
183 |
$486.00 |
| 99000 |
|
3,805 |
3,681 |
$441.55 |
| 85018 |
|
3,176 |
3,169 |
$403.85 |
| 99383 |
|
14 |
14 |
$280.40 |
| 92551 |
|
2,804 |
2,792 |
$260.00 |
| 81005 |
|
2,790 |
2,771 |
$236.25 |
| 90715 |
|
77 |
77 |
$216.00 |
| 99215 |
Prolong outpt/office vis |
314 |
311 |
$193.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
414 |
384 |
$145.88 |
| 90716 |
|
26 |
26 |
$90.00 |
| 90633 |
|
12 |
12 |
$63.00 |
| 90707 |
|
13 |
13 |
$45.00 |
| 90670 |
|
13 |
13 |
$45.00 |
| 90585 |
|
90 |
90 |
$40.00 |
| 92081 |
|
127 |
127 |
$30.00 |
| 86580 |
|
17 |
17 |
$19.98 |
| 97803 |
|
1,119 |
1,075 |
$10.00 |
| 90658 |
|
15 |
15 |
$9.00 |
| 81003 |
|
59 |
59 |
$3.88 |
| 83026 |
|
393 |
392 |
$0.00 |
| 82465 |
|
2,288 |
2,250 |
$0.00 |
| 81007 |
|
365 |
363 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,768 |
1,078 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
410 |
410 |
$0.00 |
| 99173 |
|
3,678 |
3,670 |
$0.00 |
| 90461 |
|
265 |
220 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
60 |
38 |
$0.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,136 |
2,104 |
$0.00 |
| 99441 |
|
365 |
333 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
230 |
230 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
25 |
25 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |