| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,937 |
2,549 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,134 |
1,021 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
300 |
288 |
$14K |
| G9920 |
Screening performed and negative |
1,145 |
1,132 |
$11K |
| 92081 |
|
951 |
948 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
315 |
307 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
458 |
453 |
$7K |
| 92551 |
|
1,208 |
1,186 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
523 |
503 |
$5K |
| 97803 |
|
280 |
279 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
364 |
360 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
278 |
276 |
$1K |
| 90686 |
|
617 |
580 |
$1K |
| 90670 |
|
302 |
279 |
$926.82 |
| 99381 |
|
12 |
12 |
$846.56 |
| 96127 |
|
228 |
225 |
$699.72 |
| 90648 |
|
254 |
236 |
$569.06 |
| 99460 |
|
15 |
14 |
$509.80 |
| 90697 |
|
42 |
42 |
$366.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
131 |
$294.40 |
| 99462 |
|
15 |
14 |
$272.20 |
| 90723 |
|
103 |
95 |
$270.00 |
| 90734 |
|
58 |
57 |
$259.65 |
| 90671 |
|
26 |
26 |
$225.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
34 |
$209.96 |
| 90681 |
|
25 |
24 |
$143.46 |
| 0071A |
|
13 |
13 |
$40.00 |
| 97802 |
|
35 |
35 |
$39.60 |
| 90633 |
|
22 |
15 |
$18.00 |
| 3008F |
|
882 |
874 |
$0.20 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,129 |
1,126 |
$0.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
145 |
$0.00 |
| 4004F |
|
803 |
788 |
$0.00 |
| 99173 |
|
84 |
83 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
634 |
631 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
86 |
85 |
$0.00 |
| 90461 |
|
17 |
17 |
$0.00 |
| 96151 |
|
44 |
43 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
299 |
290 |
$0.00 |
| 3351F |
|
43 |
41 |
$0.00 |
| 91307 |
|
24 |
19 |
$0.00 |
| 1220F |
|
31 |
29 |
$0.00 |