| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,173 |
19,439 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,536 |
4,386 |
$386K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,060 |
2,056 |
$179K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,645 |
1,643 |
$130K |
| 93000 |
|
1,704 |
1,691 |
$35K |
| 99385 |
|
316 |
316 |
$27K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,163 |
3,863 |
$27K |
| 96127 |
|
6,615 |
6,497 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
226 |
226 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
433 |
419 |
$15K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,910 |
1,829 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
151 |
151 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,602 |
3,495 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
535 |
531 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
1,717 |
1,709 |
$5K |
| 99401 |
|
499 |
497 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
56 |
$4K |
| 99386 |
|
28 |
28 |
$3K |
| 90686 |
|
237 |
236 |
$3K |
| 90733 |
|
51 |
50 |
$2K |
| 81002 |
|
895 |
879 |
$2K |
| 90688 |
|
79 |
79 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
459 |
452 |
$1K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
80 |
80 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,254 |
2,200 |
$1K |
| 99397 |
|
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
84 |
82 |
$889.34 |
| 99443 |
|
15 |
14 |
$657.41 |
| 99441 |
|
40 |
39 |
$545.88 |
| 3074F |
|
460 |
447 |
$492.50 |
| 3078F |
|
449 |
432 |
$487.50 |
| 99442 |
|
13 |
13 |
$450.00 |
| 82948 |
|
235 |
226 |
$441.82 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
17,107 |
15,640 |
$354.40 |
| 99407 |
|
15 |
15 |
$339.37 |
| 3079F |
|
204 |
200 |
$237.50 |
| H0049 |
Alcohol and/or drug screening |
336 |
336 |
$226.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,370 |
5,037 |
$157.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$114.75 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$94.09 |
| 3075F |
|
80 |
80 |
$92.50 |
| 99173 |
|
76 |
75 |
$90.00 |
| 3077F |
|
67 |
66 |
$87.50 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
13 |
$53.99 |
| 99000 |
|
5,220 |
5,079 |
$39.89 |
| 82962 |
|
67 |
67 |
$26.48 |
| 92015 |
Determination of refractive state |
69 |
69 |
$17.39 |
| 1159F |
|
706 |
673 |
$5.00 |
| 36416 |
|
2,344 |
2,272 |
$4.50 |
| 1160F |
|
719 |
684 |
$2.65 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
30 |
30 |
$0.02 |
| 3017F |
|
80 |
79 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
274 |
256 |
$0.00 |
| 3014F |
|
74 |
70 |
$0.00 |
| 3044F |
|
68 |
68 |
$0.00 |
| 0521F |
|
729 |
706 |
$0.00 |
| 3725F |
|
531 |
531 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
21 |
21 |
$0.00 |
| 3050F |
|
12 |
12 |
$0.00 |
| 90649 |
|
85 |
85 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
48 |
48 |
$0.00 |