| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99091 |
|
3,447 |
3,241 |
$470K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,375 |
7,659 |
$315K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,624 |
4,232 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
298 |
261 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
167 |
151 |
$12K |
| 94010 |
|
315 |
294 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
81 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
324 |
214 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
607 |
548 |
$5K |
| 81025 |
|
688 |
666 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
389 |
378 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
55 |
$3K |
| 82947 |
|
748 |
703 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
15 |
$1K |
| 99000 |
|
162 |
157 |
$1K |
| 81002 |
|
157 |
146 |
$394.29 |
| 99050 |
|
12 |
12 |
$179.28 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
264 |
256 |
$82.11 |
| 98960 |
|
132 |
119 |
$68.84 |
| 96160 |
|
63 |
62 |
$2.25 |
| 90733 |
|
44 |
30 |
$0.01 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
187 |
183 |
$0.00 |
| 90670 |
|
14 |
12 |
$0.00 |
| 1160F |
|
51 |
50 |
$0.00 |
| 3077F |
|
112 |
106 |
$0.00 |
| 99401 |
|
154 |
146 |
$0.00 |
| 90707 |
|
39 |
35 |
$0.00 |
| 90649 |
|
45 |
31 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 1158F |
|
52 |
51 |
$0.00 |
| 90633 |
|
17 |
17 |
$0.00 |
| 90648 |
|
15 |
15 |
$0.00 |
| 3074F |
|
180 |
172 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
178 |
174 |
$0.00 |
| 96127 |
|
26 |
25 |
$0.00 |
| 90660 |
|
15 |
15 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
89 |
$0.00 |
| 1125F |
|
44 |
42 |
$0.00 |
| 90686 |
|
35 |
33 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
16 |
16 |
$0.00 |
| 3080F |
|
34 |
31 |
$0.00 |
| 1170F |
|
61 |
59 |
$0.00 |
| 90716 |
|
22 |
22 |
$0.00 |