| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,133 |
8,948 |
$241K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,113 |
2,037 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,647 |
1,603 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,049 |
976 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,177 |
3,089 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,224 |
1,194 |
$8K |
| 86580 |
|
484 |
451 |
$4K |
| 99402 |
|
6,002 |
5,735 |
$3K |
| 90656 |
|
1,348 |
1,345 |
$3K |
| S9470 |
Nutritional counseling, dietitian visit |
6,569 |
6,237 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
5,940 |
5,650 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
738 |
671 |
$1K |
| 90700 |
|
69 |
69 |
$750.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$563.04 |
| 90655 |
|
63 |
63 |
$542.21 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$527.15 |
| 87430 |
|
116 |
111 |
$409.15 |
| 90713 |
|
40 |
40 |
$350.00 |
| 90633 |
|
25 |
25 |
$312.00 |
| G0008 |
Administration of influenza virus vaccine |
1,704 |
1,701 |
$290.85 |
| G0009 |
Administration of pneumococcal vaccine |
26 |
26 |
$182.00 |
| 97802 |
|
5,098 |
4,894 |
$142.50 |
| 90734 |
|
12 |
12 |
$85.00 |
| 1003F |
|
5,705 |
5,454 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,701 |
2,609 |
$0.00 |
| 3725F |
|
2,718 |
2,622 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
36 |
$0.00 |
| 90670 |
|
27 |
26 |
$0.00 |
| 96160 |
|
37 |
36 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,496 |
2,402 |
$0.00 |
| 4293F |
|
2,708 |
2,615 |
$0.00 |
| 99406 |
|
3,263 |
3,156 |
$0.00 |
| 96127 |
|
2,705 |
2,610 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
2,707 |
2,615 |
$0.00 |
| 1220F |
|
2,714 |
2,621 |
$0.00 |
| 1000F |
|
3,269 |
3,162 |
$0.00 |
| 1036F |
|
2,710 |
2,617 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,710 |
2,617 |
$0.00 |
| G0437 |
Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes |
196 |
192 |
$0.00 |
| 90651 |
|
110 |
110 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
95 |
93 |
$0.00 |
| 96156 |
|
94 |
92 |
$0.00 |
| 3008F |
|
116 |
115 |
$0.00 |
| 99429 |
|
37 |
36 |
$0.00 |