| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,921 |
1,907 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,337 |
4,991 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,928 |
1,883 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,189 |
1,147 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
905 |
901 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
262 |
256 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
135 |
$2K |
| 92552 |
|
2,000 |
1,994 |
$2K |
| 97802 |
|
2,632 |
2,497 |
$2K |
| 90648 |
|
1,150 |
1,113 |
$2K |
| 90670 |
|
1,207 |
1,176 |
$1K |
| 90723 |
|
687 |
671 |
$1K |
| 96111 |
|
433 |
322 |
$617.59 |
| 92551 |
|
946 |
923 |
$548.03 |
| 99401 |
|
2,551 |
2,418 |
$534.14 |
| 90710 |
|
703 |
670 |
$457.83 |
| D0120 |
Periodic oral evaluation - established patient |
2,167 |
2,106 |
$450.07 |
| 99173 |
|
2,091 |
2,060 |
$441.93 |
| 90700 |
|
497 |
471 |
$397.08 |
| 90651 |
|
192 |
191 |
$328.59 |
| 90686 |
|
452 |
450 |
$305.14 |
| 96112 |
|
2,077 |
2,054 |
$280.08 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,543 |
2,410 |
$229.72 |
| 81000 |
|
1,099 |
1,073 |
$200.12 |
| 90734 |
|
314 |
313 |
$186.75 |
| 90715 |
|
206 |
206 |
$134.91 |
| 90696 |
|
110 |
110 |
$99.00 |
| 90656 |
|
103 |
103 |
$55.00 |
| 85018 |
|
239 |
238 |
$47.17 |
| 90633 |
|
68 |
68 |
$42.75 |
| 90647 |
|
29 |
28 |
$27.00 |
| 90649 |
|
14 |
13 |
$18.00 |
| 90713 |
|
177 |
163 |
$18.00 |
| 85014 |
|
42 |
42 |
$1.67 |
| 91307 |
|
41 |
38 |
$0.00 |
| 0072A |
|
14 |
14 |
$0.00 |
| 0071A |
|
18 |
18 |
$0.00 |