| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,783 |
6,308 |
$49K |
| 92551 |
|
2,712 |
2,688 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
554 |
553 |
$9K |
| G9920 |
Screening performed and negative |
725 |
709 |
$9K |
| 90651 |
|
803 |
795 |
$8K |
| 0001A |
|
197 |
197 |
$8K |
| 90700 |
|
1,152 |
1,145 |
$6K |
| 0002A |
|
125 |
125 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,225 |
1,219 |
$5K |
| 90713 |
|
853 |
848 |
$5K |
| 90648 |
|
794 |
786 |
$4K |
| 90670 |
|
764 |
762 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
258 |
253 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,307 |
1,296 |
$4K |
| 90686 |
|
673 |
671 |
$4K |
| 99381 |
|
89 |
88 |
$3K |
| 90688 |
|
400 |
400 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
925 |
915 |
$3K |
| 90633 |
|
548 |
545 |
$3K |
| 90716 |
|
488 |
486 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,006 |
992 |
$3K |
| 90707 |
|
494 |
492 |
$3K |
| 90680 |
|
393 |
391 |
$2K |
| 90734 |
|
432 |
431 |
$2K |
| 90744 |
|
354 |
351 |
$2K |
| 90685 |
|
260 |
254 |
$2K |
| 90715 |
|
218 |
218 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
368 |
362 |
$1K |
| 90621 |
|
205 |
204 |
$1K |
| 99383 |
|
228 |
228 |
$785.68 |
| 99382 |
|
127 |
126 |
$633.30 |
| 99215 |
Prolong outpt/office vis |
34 |
34 |
$549.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
790 |
774 |
$459.20 |
| 99384 |
|
67 |
67 |
$443.56 |
| 90687 |
|
17 |
17 |
$148.41 |
| 85018 |
|
3,000 |
2,988 |
$90.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
456 |
446 |
$60.70 |
| 99173 |
|
2,774 |
2,755 |
$22.35 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
833 |
820 |
$9.90 |
| 96160 |
|
268 |
260 |
$0.00 |
| 92552 |
|
227 |
225 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
13 |
$0.00 |
| 3351F |
|
281 |
278 |
$0.00 |
| 96150 |
|
104 |
103 |
$0.00 |
| 87081 |
|
17 |
15 |
$0.00 |
| 1036F |
|
48 |
48 |
$0.00 |