| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
568 |
513 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
98 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
210 |
189 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
485 |
474 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
499 |
488 |
$13K |
| 92551 |
|
1,185 |
1,155 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
190 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
252 |
251 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
592 |
316 |
$3K |
| 90700 |
|
271 |
270 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 96156 |
|
30 |
30 |
$1K |
| 96150 |
|
191 |
190 |
$1K |
| 85018 |
|
865 |
825 |
$1K |
| 92552 |
|
229 |
227 |
$1K |
| 90649 |
|
125 |
123 |
$813.33 |
| 90670 |
|
112 |
112 |
$738.00 |
| 97803 |
|
305 |
304 |
$721.83 |
| 81000 |
|
524 |
506 |
$679.92 |
| 97802 |
|
458 |
450 |
$669.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
52 |
52 |
$661.44 |
| 90647 |
|
93 |
93 |
$639.00 |
| 90713 |
|
99 |
99 |
$603.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
239 |
239 |
$553.67 |
| 92081 |
|
198 |
191 |
$260.96 |
| 90716 |
|
25 |
24 |
$245.18 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
262 |
262 |
$242.44 |
| 92060 |
|
228 |
228 |
$202.68 |
| 99173 |
|
195 |
195 |
$202.36 |
| 96151 |
|
22 |
16 |
$200.80 |
| 90734 |
|
35 |
33 |
$199.56 |
| 90707 |
|
25 |
24 |
$183.71 |
| G9920 |
Screening performed and negative |
137 |
137 |
$174.00 |
| 83655 |
|
14 |
13 |
$161.20 |
| 90715 |
|
27 |
27 |
$144.00 |
| 90680 |
|
13 |
13 |
$117.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
22 |
22 |
$116.00 |
| 81002 |
|
93 |
85 |
$75.03 |
| 90630 |
|
13 |
13 |
$63.00 |
| 90633 |
|
15 |
15 |
$45.00 |
| 99000 |
|
12 |
12 |
$31.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
977 |
911 |
$25.09 |
| 90461 |
|
119 |
101 |
$0.00 |
| 3725F |
|
40 |
40 |
$0.00 |
| 99421 |
|
23 |
20 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
79 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| 92499 |
|
48 |
42 |
$0.00 |
| 3008F |
|
49 |
49 |
$0.00 |
| 3074F |
|
26 |
26 |
$0.00 |