| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,682 |
5,125 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,091 |
2,053 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,008 |
966 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,758 |
1,750 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
869 |
864 |
$21K |
| 99381 |
|
126 |
126 |
$15K |
| 92551 |
|
1,356 |
1,351 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
447 |
417 |
$7K |
| 90670 |
|
1,164 |
1,120 |
$7K |
| G9920 |
Screening performed and negative |
366 |
366 |
$5K |
| 90698 |
|
715 |
691 |
$5K |
| 90680 |
|
452 |
438 |
$3K |
| 90686 |
|
488 |
483 |
$3K |
| 90744 |
|
369 |
359 |
$3K |
| 83655 |
|
520 |
514 |
$3K |
| 90716 |
|
494 |
485 |
$2K |
| 90707 |
|
443 |
438 |
$2K |
| 90633 |
|
438 |
428 |
$2K |
| 99173 |
|
1,450 |
1,444 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
66 |
66 |
$1K |
| 90671 |
|
174 |
173 |
$908.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
399 |
299 |
$864.20 |
| 90697 |
|
147 |
146 |
$839.00 |
| 90656 |
|
183 |
181 |
$819.00 |
| 90651 |
|
187 |
186 |
$794.00 |
| 85018 |
|
735 |
729 |
$721.55 |
| 99383 |
|
39 |
38 |
$614.47 |
| 3008F |
|
2,785 |
2,771 |
$426.00 |
| 3074F |
|
1,116 |
1,111 |
$410.00 |
| 3078F |
|
1,122 |
1,118 |
$410.00 |
| 90619 |
|
34 |
34 |
$244.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
268 |
$232.00 |
| 90688 |
|
183 |
182 |
$180.00 |
| 90715 |
|
18 |
18 |
$154.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
12 |
$113.12 |
| 86580 |
|
38 |
38 |
$106.69 |
| 90696 |
|
13 |
13 |
$92.00 |
| 90700 |
|
14 |
14 |
$90.00 |
| 90734 |
|
30 |
30 |
$81.00 |
| 90685 |
|
17 |
14 |
$63.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,373 |
2,360 |
$40.00 |
| 91307 |
|
42 |
35 |
$9.00 |
| 99441 |
|
163 |
150 |
$0.00 |
| 96127 |
|
48 |
47 |
$0.00 |
| 99188 |
|
36 |
36 |
$0.00 |
| 0071A |
|
16 |
16 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |