| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,965 |
16,098 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,034 |
12,889 |
$693K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,471 |
1,257 |
$117K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,461 |
1,265 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,434 |
1,363 |
$109K |
| 99215 |
Prolong outpt/office vis |
1,324 |
1,130 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,133 |
1,051 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
960 |
906 |
$72K |
| 99205 |
Prolong outpt/office vis |
457 |
409 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
611 |
541 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,426 |
1,133 |
$30K |
| 90686 |
|
1,888 |
1,678 |
$26K |
| 92551 |
|
2,746 |
2,569 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
148 |
123 |
$13K |
| 96127 |
|
2,407 |
2,168 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
652 |
306 |
$8K |
| 99173 |
|
2,777 |
2,600 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
151 |
132 |
$5K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
297 |
280 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
831 |
724 |
$4K |
| 90670 |
|
259 |
228 |
$4K |
| 90651 |
|
209 |
186 |
$2K |
| 81002 |
|
2,951 |
2,725 |
$2K |
| 0001A |
|
79 |
79 |
$2K |
| 87428 |
|
25 |
25 |
$2K |
| 90656 |
|
115 |
113 |
$2K |
| 99385 |
|
13 |
12 |
$1K |
| 99499 |
|
93 |
81 |
$1K |
| 90723 |
|
77 |
63 |
$1K |
| 90680 |
|
54 |
48 |
$1K |
| 93000 |
|
90 |
85 |
$955.11 |
| 90734 |
|
110 |
103 |
$904.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
228 |
$846.82 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
192 |
178 |
$764.04 |
| 90707 |
|
63 |
63 |
$640.03 |
| 0002A |
|
23 |
23 |
$600.00 |
| 0012A |
|
20 |
20 |
$560.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
215 |
179 |
$542.49 |
| 90633 |
|
31 |
26 |
$507.61 |
| 0011A |
|
20 |
20 |
$473.88 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
121 |
104 |
$337.75 |
| 90716 |
|
27 |
27 |
$308.98 |
| 90620 |
|
26 |
26 |
$44.14 |
| 91300 |
|
187 |
163 |
$0.25 |
| 91301 |
|
51 |
51 |
$0.09 |
| 91307 |
|
22 |
18 |
$0.06 |
| 3008F |
|
7,343 |
6,806 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,517 |
3,324 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
36 |
28 |
$0.00 |
| 3080F |
|
402 |
321 |
$0.00 |
| 3075F |
|
431 |
356 |
$0.00 |
| 3079F |
|
1,156 |
997 |
$0.00 |
| 3074F |
|
1,726 |
1,477 |
$0.00 |
| 3044F |
|
74 |
66 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,463 |
3,125 |
$0.00 |
| 90461 |
|
1,379 |
1,254 |
$0.00 |
| 3725F |
|
195 |
184 |
$0.00 |
| 3078F |
|
1,230 |
1,040 |
$0.00 |
| 3077F |
|
479 |
393 |
$0.00 |