| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,410 |
13,124 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
431 |
408 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,071 |
1,036 |
$24K |
| 92551 |
|
3,895 |
3,867 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
630 |
611 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,230 |
1,222 |
$10K |
| 0001A |
|
245 |
241 |
$10K |
| 0002A |
|
238 |
237 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,155 |
3,885 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,115 |
1,112 |
$7K |
| 90686 |
|
835 |
827 |
$7K |
| 0011A |
|
162 |
157 |
$6K |
| 0012A |
|
137 |
137 |
$5K |
| 97803 |
|
2,587 |
2,584 |
$4K |
| 90670 |
|
344 |
344 |
$3K |
| 90651 |
|
207 |
205 |
$3K |
| G9920 |
Screening performed and negative |
1,154 |
1,154 |
$2K |
| 0134A |
|
58 |
57 |
$2K |
| 0013A |
|
47 |
46 |
$2K |
| 0003A |
|
43 |
43 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
68 |
$2K |
| 0124A |
|
41 |
41 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
88 |
84 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
682 |
640 |
$2K |
| 90685 |
|
71 |
58 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
28 |
$1K |
| 90698 |
|
164 |
164 |
$1K |
| 90461 |
|
1,210 |
1,184 |
$770.00 |
| 90680 |
|
80 |
80 |
$604.10 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,032 |
2,028 |
$569.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,665 |
2,583 |
$420.00 |
| 99173 |
|
3,557 |
3,534 |
$361.90 |
| 90734 |
|
36 |
35 |
$336.00 |
| 90744 |
|
52 |
52 |
$328.50 |
| 1220F |
|
2,184 |
2,052 |
$300.00 |
| 99406 |
|
1,016 |
1,013 |
$277.43 |
| 90715 |
|
62 |
61 |
$271.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,017 |
1,932 |
$169.44 |
| 90620 |
|
24 |
24 |
$129.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
86 |
$128.87 |
| 99188 |
|
31 |
31 |
$106.92 |
| 90619 |
|
60 |
60 |
$45.00 |
| 90633 |
|
12 |
12 |
$36.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
247 |
233 |
$35.32 |
| 1036F |
|
423 |
421 |
$0.00 |
| 3074F |
|
948 |
911 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
730 |
728 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
251 |
251 |
$0.00 |
| 88141 |
|
90 |
86 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
731 |
670 |
$0.00 |
| 3044F |
|
112 |
109 |
$0.00 |
| 3079F |
|
161 |
156 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
106 |
105 |
$0.00 |
| 3078F |
|
726 |
698 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
93 |
93 |
$0.00 |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
225 |
224 |
$0.00 |
| 99072 |
|
213 |
204 |
$0.00 |
| 99449 |
|
18 |
18 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
112 |
100 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
32 |
32 |
$0.00 |
| 99448 |
|
13 |
13 |
$0.00 |