| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,299 |
9,497 |
$713K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,979 |
2,963 |
$192K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,864 |
6,833 |
$179K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,586 |
2,577 |
$165K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,988 |
1,982 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,316 |
1,267 |
$79K |
| 92587 |
|
2,670 |
2,658 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
463 |
441 |
$48K |
| 90461 |
|
1,715 |
1,711 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
449 |
446 |
$35K |
| 90677 |
|
120 |
120 |
$17K |
| S9451 |
Exercise classes, non-physician provider, per session |
4,127 |
4,117 |
$17K |
| 97802 |
|
4,966 |
4,938 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,685 |
2,668 |
$12K |
| 96127 |
|
2,419 |
2,405 |
$6K |
| 90686 |
|
2,424 |
2,417 |
$4K |
| 0071A |
|
77 |
77 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
568 |
567 |
$3K |
| 90651 |
|
245 |
245 |
$2K |
| 0072A |
|
64 |
64 |
$2K |
| 0002A |
|
37 |
37 |
$1K |
| 90697 |
|
13 |
13 |
$1K |
| 0001A |
|
32 |
32 |
$1K |
| 91307 |
|
177 |
162 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,582 |
4,534 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
82 |
$922.69 |
| 90672 |
|
527 |
527 |
$908.25 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$816.99 |
| 99441 |
|
33 |
29 |
$591.50 |
| 0004A |
|
14 |
14 |
$537.20 |
| 90734 |
|
45 |
45 |
$507.39 |
| 87110 |
|
40 |
37 |
$478.84 |
| 0124A |
|
12 |
12 |
$466.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$423.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
27 |
$407.23 |
| 99442 |
|
12 |
12 |
$324.98 |
| 94664 |
|
32 |
30 |
$317.96 |
| 3074F |
|
212 |
192 |
$284.50 |
| 99188 |
|
18 |
18 |
$269.66 |
| 3078F |
|
140 |
128 |
$192.00 |
| 91300 |
|
110 |
103 |
$153.12 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,416 |
1,413 |
$86.00 |
| 99173 |
|
722 |
719 |
$82.96 |
| H0001 |
Alcohol and/or drug assessment |
20 |
20 |
$64.50 |
| 91312 |
|
12 |
12 |
$63.20 |
| 90715 |
|
24 |
24 |
$54.84 |
| 90685 |
|
15 |
15 |
$43.62 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$18.08 |
| 3008F |
|
4,699 |
4,657 |
$10.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
17 |
17 |
$4.50 |
| 1036F |
|
794 |
794 |
$0.00 |
| 1000F |
|
796 |
796 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
390 |
390 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90710 |
|
59 |
59 |
$0.00 |
| 3725F |
|
1,586 |
1,577 |
$0.00 |
| 90670 |
|
569 |
568 |
$0.00 |
| 90633 |
|
206 |
206 |
$0.00 |
| 90681 |
|
15 |
15 |
$0.00 |