| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,336 |
23,616 |
$2.40M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,075 |
4,047 |
$439K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,125 |
3,099 |
$368K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,287 |
3,255 |
$348K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,299 |
12,037 |
$317K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,721 |
2,625 |
$269K |
| 92552 |
|
7,780 |
7,776 |
$251K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,257 |
1,229 |
$173K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,876 |
12,784 |
$66K |
| 99051 |
|
11,502 |
11,106 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,803 |
2,742 |
$50K |
| 97802 |
|
8,578 |
8,570 |
$47K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,722 |
3,709 |
$39K |
| S9451 |
Exercise classes, non-physician provider, per session |
7,649 |
7,642 |
$36K |
| H0049 |
Alcohol and/or drug screening |
2,957 |
2,957 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,073 |
1,057 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
303 |
294 |
$13K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,720 |
2,707 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
97 |
$12K |
| 92587 |
|
508 |
506 |
$10K |
| 90677 |
|
68 |
68 |
$10K |
| 99173 |
|
5,927 |
5,926 |
$10K |
| 99188 |
|
354 |
354 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
81 |
78 |
$8K |
| 92015 |
Determination of refractive state |
2,236 |
2,232 |
$8K |
| 90670 |
|
1,087 |
1,080 |
$6K |
| 92553 |
|
136 |
136 |
$6K |
| 99460 |
|
56 |
55 |
$5K |
| 0072A |
|
110 |
110 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
161 |
158 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
340 |
340 |
$3K |
| 0071A |
|
74 |
73 |
$3K |
| 90619 |
|
170 |
169 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,405 |
1,397 |
$3K |
| 90671 |
|
16 |
16 |
$2K |
| 90686 |
|
4,653 |
4,650 |
$2K |
| 90651 |
|
453 |
453 |
$2K |
| 90621 |
|
179 |
179 |
$1K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,349 |
2,349 |
$752.00 |
| 90461 |
|
71 |
71 |
$747.21 |
| 99462 |
|
14 |
14 |
$701.09 |
| 90656 |
|
536 |
536 |
$554.94 |
| 83655 |
|
63 |
63 |
$511.97 |
| 90744 |
|
1,363 |
1,362 |
$501.05 |
| 91307 |
|
175 |
166 |
$411.77 |
| 90715 |
|
269 |
269 |
$360.65 |
| 86580 |
|
30 |
30 |
$251.85 |
| 90698 |
|
1,226 |
1,222 |
$221.13 |
| 90633 |
|
326 |
326 |
$186.60 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$185.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$174.53 |
| 90685 |
|
158 |
158 |
$173.26 |
| 90681 |
|
408 |
406 |
$141.81 |
| 36410 |
|
30 |
30 |
$136.40 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
17 |
17 |
$100.74 |
| 90672 |
|
167 |
167 |
$82.83 |
| 99441 |
|
17 |
16 |
$70.15 |
| 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) |
34 |
31 |
$10.00 |
| 36416 |
|
194 |
194 |
$7.78 |
| 3008F |
|
3,516 |
3,512 |
$0.00 |
| 90716 |
|
66 |
66 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 3016F |
|
292 |
292 |
$0.00 |
| 3725F |
|
269 |
269 |
$0.00 |
| 90734 |
|
194 |
194 |
$0.00 |
| 90700 |
|
58 |
58 |
$0.00 |
| 90710 |
|
28 |
27 |
$0.00 |
| 99072 |
|
671 |
643 |
$0.00 |
| 90707 |
|
65 |
65 |
$0.00 |
| 90713 |
|
42 |
42 |
$0.00 |