| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,746 |
14,861 |
$53K |
| 92552 |
|
3,233 |
3,218 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,880 |
2,874 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,832 |
2,826 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
771 |
747 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,876 |
1,857 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,329 |
1,268 |
$9K |
| 97803 |
|
6,462 |
6,439 |
$7K |
| 90686 |
|
2,300 |
2,290 |
$6K |
| 96156 |
|
2,328 |
2,327 |
$4K |
| 90734 |
|
627 |
622 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
269 |
269 |
$3K |
| 90620 |
|
493 |
493 |
$3K |
| 90670 |
|
672 |
665 |
$2K |
| 97802 |
|
299 |
299 |
$2K |
| 90700 |
|
672 |
669 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,487 |
2,484 |
$2K |
| 90651 |
|
617 |
615 |
$2K |
| 99383 |
|
69 |
69 |
$2K |
| 90713 |
|
406 |
402 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 90716 |
|
452 |
450 |
$998.91 |
| 90680 |
|
157 |
156 |
$917.91 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
280 |
279 |
$906.21 |
| 90707 |
|
412 |
411 |
$896.91 |
| 99382 |
|
24 |
24 |
$735.94 |
| 90649 |
|
451 |
448 |
$703.07 |
| 90677 |
|
83 |
83 |
$674.55 |
| 90744 |
|
116 |
115 |
$671.23 |
| 90715 |
|
180 |
179 |
$615.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
272 |
271 |
$572.25 |
| 99215 |
Prolong outpt/office vis |
71 |
68 |
$558.54 |
| 90633 |
|
299 |
298 |
$509.73 |
| 90698 |
|
177 |
174 |
$486.00 |
| 90647 |
|
97 |
97 |
$356.82 |
| 90674 |
|
52 |
34 |
$262.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
99 |
$233.71 |
| 83655 |
|
184 |
184 |
$227.15 |
| 90648 |
|
74 |
74 |
$197.82 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
100 |
99 |
$179.70 |
| G9920 |
Screening performed and negative |
1,159 |
1,154 |
$171.00 |
| 90619 |
|
255 |
255 |
$140.73 |
| 99442 |
|
413 |
396 |
$139.14 |
| G9919 |
Screening performed and positive and provision of recommendations |
450 |
449 |
$124.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,008 |
1,006 |
$118.80 |
| 99443 |
|
91 |
87 |
$103.09 |
| S9451 |
Exercise classes, non-physician provider, per session |
6,163 |
6,140 |
$90.09 |
| 99406 |
|
130 |
129 |
$42.27 |
| 90655 |
|
15 |
15 |
$27.00 |
| 99173 |
|
2,000 |
1,994 |
$7.50 |
| H0049 |
Alcohol and/or drug screening |
1,233 |
1,233 |
$0.00 |
| 3008F |
|
7,721 |
7,645 |
$0.00 |
| 1220F |
|
348 |
347 |
$0.00 |
| 99441 |
|
20 |
19 |
$0.00 |
| 1036F |
|
428 |
428 |
$0.00 |
| 3351F |
|
54 |
54 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
14 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
85 |
85 |
$0.00 |