| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,754 |
3,206 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,253 |
1,179 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
994 |
992 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
980 |
895 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,128 |
2,101 |
$27K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
382 |
376 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,087 |
1,083 |
$19K |
| 99460 |
|
342 |
341 |
$19K |
| 92552 |
|
511 |
510 |
$14K |
| 99462 |
|
463 |
357 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
114 |
$11K |
| 36406 |
|
304 |
303 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
248 |
238 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
282 |
282 |
$3K |
| 96112 |
|
53 |
53 |
$3K |
| 96161 |
|
619 |
564 |
$2K |
| 90686 |
|
193 |
193 |
$2K |
| 90474 |
|
160 |
160 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 99383 |
|
14 |
14 |
$1K |
| 90670 |
|
70 |
70 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90461 |
|
59 |
58 |
$866.89 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
42 |
42 |
$776.00 |
| 83655 |
|
13 |
13 |
$550.00 |
| 83015 |
|
25 |
25 |
$473.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$338.37 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
13 |
13 |
$160.90 |
| 99051 |
|
178 |
176 |
$119.40 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$118.26 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$115.22 |
| 99173 |
|
48 |
48 |
$95.56 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
28 |
$56.99 |
| 81025 |
|
12 |
12 |
$55.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
51 |
$52.46 |
| 3008F |
|
69 |
69 |
$41.00 |
| 81000 |
|
12 |
12 |
$22.68 |
| 81002 |
|
14 |
14 |
$1.19 |
| 97802 |
|
73 |
73 |
$0.00 |