| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,123 |
9,514 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,952 |
5,687 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,214 |
2,076 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,200 |
1,152 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
457 |
441 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
113 |
107 |
$2K |
| 99490 |
Ccm add 20min |
378 |
377 |
$2K |
| 92551 |
|
1,521 |
1,489 |
$2K |
| 90674 |
|
1,011 |
1,007 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
214 |
209 |
$2K |
| 90686 |
|
579 |
574 |
$1K |
| 90715 |
|
88 |
84 |
$1K |
| 99383 |
|
50 |
50 |
$918.96 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
224 |
223 |
$876.26 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
404 |
398 |
$808.50 |
| 83037 |
|
15 |
15 |
$714.72 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
262 |
260 |
$356.79 |
| 90670 |
|
173 |
173 |
$270.00 |
| 90723 |
|
130 |
130 |
$252.00 |
| 90648 |
|
173 |
173 |
$252.00 |
| 99382 |
|
30 |
30 |
$234.24 |
| 85018 |
|
873 |
864 |
$136.08 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
108 |
$126.28 |
| 90633 |
|
93 |
92 |
$99.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
362 |
358 |
$55.36 |
| 90710 |
|
40 |
40 |
$45.00 |
| 90658 |
|
17 |
16 |
$40.21 |
| 82947 |
|
441 |
425 |
$29.36 |
| 90649 |
|
42 |
41 |
$18.00 |
| 86580 |
|
12 |
12 |
$3.02 |
| 99173 |
|
1,366 |
1,328 |
$2.30 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
701 |
680 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
444 |
443 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
736 |
716 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
741 |
723 |
$0.00 |
| 97802 |
|
49 |
49 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
35 |
35 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 99401 |
|
706 |
686 |
$0.00 |
| 97803 |
|
567 |
553 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 86318 |
|
17 |
17 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
150 |
147 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
142 |
141 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
117 |
117 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
37 |
37 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |
| 99201 |
|
20 |
18 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |