| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,876 |
3,392 |
$231K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,024 |
2,990 |
$97K |
| 90461 |
|
1,526 |
1,510 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
548 |
527 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
385 |
339 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
322 |
320 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
179 |
175 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
147 |
$13K |
| 92551 |
|
1,281 |
1,280 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,114 |
1,098 |
$7K |
| 97802 |
|
1,252 |
1,247 |
$7K |
| 99401 |
|
290 |
263 |
$6K |
| H0001 |
Alcohol and/or drug assessment |
222 |
222 |
$5K |
| 99051 |
|
930 |
895 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
769 |
759 |
$4K |
| G9920 |
Screening performed and negative |
149 |
148 |
$4K |
| 99429 |
|
429 |
413 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
219 |
215 |
$3K |
| 83655 |
|
255 |
255 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
21 |
$889.58 |
| 96127 |
|
245 |
245 |
$736.93 |
| 99173 |
|
585 |
585 |
$712.85 |
| 0071A |
|
18 |
18 |
$621.21 |
| 0072A |
|
16 |
16 |
$548.45 |
| 99072 |
|
1,137 |
1,078 |
$491.25 |
| 96161 |
|
205 |
202 |
$236.89 |
| 99441 |
|
20 |
17 |
$232.61 |
| 90686 |
|
1,003 |
999 |
$37.01 |
| 90688 |
|
15 |
15 |
$24.98 |
| 99177 |
|
16 |
16 |
$19.04 |
| 91307 |
|
24 |
21 |
$2.82 |
| 99070 |
|
59 |
56 |
$0.00 |
| 3008F |
|
1,418 |
1,369 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 1036F |
|
159 |
159 |
$0.00 |
| 1000F |
|
125 |
124 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
135 |
135 |
$0.00 |
| 4293F |
|
105 |
105 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 3016F |
|
135 |
135 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
54 |
54 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
121 |
121 |
$0.00 |
| 3725F |
|
161 |
161 |
$0.00 |
| 90670 |
|
29 |
29 |
$0.00 |