| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,224 |
6,857 |
$578K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,047 |
1,918 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
865 |
825 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
776 |
734 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
555 |
535 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,865 |
1,780 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
333 |
314 |
$33K |
| 99215 |
Prolong outpt/office vis |
222 |
213 |
$27K |
| S9451 |
Exercise classes, non-physician provider, per session |
527 |
507 |
$21K |
| S9470 |
Nutritional counseling, dietitian visit |
676 |
626 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
398 |
384 |
$15K |
| 92552 |
|
455 |
435 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
87 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
138 |
133 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
896 |
864 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
409 |
395 |
$4K |
| 99443 |
|
107 |
102 |
$4K |
| 96127 |
|
778 |
747 |
$3K |
| 99188 |
|
309 |
301 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
40 |
$3K |
| 99490 |
Ccm add 20min |
569 |
569 |
$2K |
| 90656 |
|
442 |
440 |
$1K |
| 90686 |
|
440 |
430 |
$1K |
| 99439 |
|
149 |
149 |
$600.93 |
| 81002 |
|
459 |
433 |
$577.86 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$533.21 |
| 90688 |
|
65 |
65 |
$441.00 |
| 96160 |
|
255 |
240 |
$422.92 |
| 99406 |
|
25 |
25 |
$275.16 |
| 90651 |
|
81 |
81 |
$273.00 |
| 90620 |
|
65 |
65 |
$266.40 |
| 90734 |
|
75 |
75 |
$210.00 |
| 90633 |
|
30 |
30 |
$207.20 |
| 96161 |
|
86 |
83 |
$180.94 |
| 99173 |
|
564 |
529 |
$179.88 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
250 |
238 |
$156.60 |
| 90648 |
|
46 |
46 |
$118.40 |
| 90697 |
|
14 |
14 |
$88.80 |
| 82962 |
|
56 |
56 |
$66.83 |
| 90715 |
|
177 |
163 |
$63.00 |
| 90680 |
|
13 |
13 |
$63.00 |
| 3077F |
|
324 |
305 |
$40.00 |
| 3080F |
|
55 |
53 |
$40.00 |
| 90710 |
|
13 |
13 |
$31.50 |
| 3074F |
|
504 |
480 |
$25.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,136 |
1,043 |
$18.76 |
| 3078F |
|
408 |
390 |
$10.00 |
| 3044F |
|
216 |
203 |
$10.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
179 |
161 |
$0.00 |
| G9920 |
Screening performed and negative |
5,486 |
5,167 |
$0.00 |
| 1160F |
|
77 |
71 |
$0.00 |
| 90461 |
|
391 |
369 |
$0.00 |
| 90746 |
|
100 |
85 |
$0.00 |
| 1159F |
|
135 |
127 |
$0.00 |
| 3079F |
|
516 |
489 |
$0.00 |
| 3061F |
|
184 |
160 |
$0.00 |
| 4010F |
|
451 |
424 |
$0.00 |
| 1126F |
|
115 |
107 |
$0.00 |
| 3075F |
|
115 |
113 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 1170F |
|
25 |
24 |
$0.00 |
| 90677 |
|
30 |
30 |
$0.00 |