| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,383 |
4,193 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
462 |
456 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
194 |
189 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
231 |
230 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,578 |
1,585 |
$5K |
| 92552 |
|
809 |
808 |
$4K |
| 99381 |
|
25 |
25 |
$3K |
| 90686 |
|
636 |
624 |
$3K |
| 85018 |
|
2,238 |
2,188 |
$2K |
| 90670 |
|
226 |
226 |
$1K |
| 90648 |
|
204 |
203 |
$955.00 |
| 92551 |
|
83 |
83 |
$885.03 |
| 90723 |
|
82 |
82 |
$423.00 |
| 99173 |
|
883 |
880 |
$407.68 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$296.92 |
| 90680 |
|
40 |
40 |
$180.00 |
| 99000 |
|
1,216 |
1,202 |
$122.45 |
| 81002 |
|
95 |
95 |
$101.65 |
| 36415 |
Collection of venous blood by venipuncture |
1,646 |
1,616 |
$92.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
121 |
$68.13 |
| 90710 |
|
13 |
13 |
$54.00 |
| 99441 |
|
251 |
241 |
$20.52 |
| 3008F |
|
5,264 |
5,021 |
$5.08 |
| 82962 |
|
221 |
207 |
$1.44 |
| 3078F |
|
3,290 |
3,184 |
$0.05 |
| 3074F |
|
3,333 |
3,218 |
$0.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
267 |
266 |
$0.01 |
| 3077F |
|
241 |
233 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
25 |
25 |
$0.01 |
| 1036F |
|
458 |
455 |
$0.00 |
| 3079F |
|
783 |
759 |
$0.00 |
| 3075F |
|
171 |
169 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 3725F |
|
647 |
645 |
$0.00 |
| 1159F |
|
290 |
287 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
103 |
102 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
234 |
227 |
$0.00 |
| 1160F |
|
269 |
266 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
49 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$0.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| 92081 |
|
27 |
27 |
$0.00 |