| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,270 |
7,035 |
$218K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,704 |
1,665 |
$149K |
| G9920 |
Screening performed and negative |
986 |
986 |
$29K |
| 99381 |
|
218 |
203 |
$25K |
| 92551 |
|
2,742 |
2,711 |
$13K |
| 90670 |
|
1,630 |
1,629 |
$12K |
| 90744 |
|
1,273 |
1,272 |
$10K |
| 90698 |
|
870 |
870 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
576 |
558 |
$8K |
| 90700 |
|
1,182 |
1,180 |
$7K |
| 90713 |
|
1,058 |
1,057 |
$7K |
| 90648 |
|
970 |
968 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
820 |
809 |
$7K |
| 0071A |
|
160 |
160 |
$6K |
| 90681 |
|
632 |
632 |
$6K |
| 0072A |
|
142 |
142 |
$6K |
| 90680 |
|
676 |
676 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
701 |
681 |
$3K |
| 90671 |
|
209 |
209 |
$2K |
| 90686 |
|
433 |
418 |
$2K |
| 99461 |
|
13 |
12 |
$1K |
| 90651 |
|
487 |
474 |
$831.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
49 |
$808.90 |
| 90707 |
|
257 |
256 |
$342.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
143 |
$230.74 |
| 90716 |
|
243 |
242 |
$216.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$127.08 |
| 85018 |
|
569 |
564 |
$115.62 |
| 90715 |
|
44 |
44 |
$108.00 |
| 90734 |
|
278 |
272 |
$18.00 |
| 90685 |
|
75 |
69 |
$0.00 |
| 83516 |
|
79 |
79 |
$0.00 |
| 81003 |
|
193 |
185 |
$0.00 |
| 83655 |
|
59 |
59 |
$0.00 |
| 80061 |
Lipid panel |
278 |
277 |
$0.00 |
| 84439 |
|
71 |
70 |
$0.00 |
| 90633 |
|
216 |
213 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
747 |
731 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
81 |
$0.00 |
| 86003 |
|
71 |
71 |
$0.00 |
| 83540 |
|
17 |
17 |
$0.00 |
| 82785 |
|
12 |
12 |
$0.00 |
| 90621 |
|
14 |
14 |
$0.00 |
| 85652 |
|
68 |
67 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
142 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
425 |
422 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
648 |
633 |
$0.00 |
| 86255 |
|
78 |
78 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
753 |
726 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
422 |
416 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 1220F |
|
163 |
159 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
552 |
543 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,421 |
1,388 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
206 |
196 |
$0.00 |
| 86001 |
|
74 |
74 |
$0.00 |
| 94760 |
|
140 |
138 |
$0.00 |
| 82784 |
|
78 |
78 |
$0.00 |
| 86580 |
|
33 |
33 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
357 |
357 |
$0.00 |
| 87070 |
|
433 |
425 |
$0.00 |
| 83550 |
|
17 |
17 |
$0.00 |