| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,031 |
1,813 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,880 |
2,623 |
$154K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,992 |
2,896 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
822 |
814 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
655 |
655 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
569 |
563 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
275 |
265 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
486 |
483 |
$5K |
| 97802 |
|
506 |
503 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
409 |
408 |
$2K |
| 99408 |
|
270 |
268 |
$1K |
| 96127 |
|
165 |
164 |
$742.54 |
| S9451 |
Exercise classes, non-physician provider, per session |
494 |
488 |
$390.50 |
| 90686 |
|
591 |
590 |
$312.80 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
18 |
18 |
$288.77 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
19 |
19 |
$141.10 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$36.10 |
| 90670 |
|
40 |
39 |
$35.70 |
| 90688 |
|
272 |
267 |
$26.76 |
| 90687 |
|
29 |
29 |
$26.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
225 |
225 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 1031F |
|
26 |
25 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 3008F |
|
59 |
59 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 3725F |
|
220 |
216 |
$0.00 |