| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,229 |
1,861 |
$355K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,197 |
3,218 |
$339K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,449 |
1,258 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
597 |
525 |
$145K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,622 |
2,606 |
$139K |
| G9920 |
Screening performed and negative |
4,604 |
4,587 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
901 |
723 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,442 |
2,426 |
$110K |
| 92552 |
|
7,956 |
7,935 |
$92K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
314 |
280 |
$87K |
| 99383 |
|
681 |
596 |
$63K |
| 99384 |
|
482 |
404 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,904 |
2,917 |
$52K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,306 |
2,306 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
454 |
439 |
$21K |
| 99382 |
|
229 |
202 |
$18K |
| 99381 |
|
217 |
188 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
237 |
207 |
$17K |
| 99173 |
|
4,821 |
4,815 |
$12K |
| 85018 |
|
5,720 |
5,327 |
$12K |
| 81003 |
|
4,867 |
4,623 |
$10K |
| 83026 |
|
3,506 |
3,503 |
$9K |
| 99188 |
|
437 |
431 |
$7K |
| 81000 |
|
2,587 |
2,561 |
$6K |
| 99401 |
|
233 |
231 |
$4K |
| 90670 |
|
526 |
525 |
$4K |
| 90633 |
|
439 |
438 |
$4K |
| 90744 |
|
257 |
257 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
199 |
199 |
$2K |
| 90698 |
|
223 |
223 |
$2K |
| 99215 |
Prolong outpt/office vis |
111 |
102 |
$2K |
| 90649 |
|
520 |
518 |
$2K |
| 90658 |
|
362 |
359 |
$1K |
| 90734 |
|
339 |
338 |
$990.00 |
| 90681 |
|
90 |
90 |
$807.75 |
| 90716 |
|
79 |
78 |
$711.00 |
| 90648 |
|
84 |
84 |
$693.00 |
| 90715 |
|
124 |
124 |
$659.00 |
| 86580 |
|
143 |
143 |
$477.75 |
| 90710 |
|
73 |
73 |
$459.00 |
| 90700 |
|
40 |
40 |
$360.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
42 |
$355.52 |
| 90680 |
|
33 |
33 |
$297.00 |
| 90713 |
|
32 |
32 |
$288.00 |
| 90707 |
|
27 |
27 |
$243.00 |
| 99406 |
|
28 |
28 |
$201.55 |
| 90696 |
|
28 |
28 |
$135.00 |
| 90620 |
|
57 |
57 |
$9.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |