| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,049 |
37,966 |
$2.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,067 |
17,652 |
$1.46M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
10,291 |
10,260 |
$744K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,335 |
5,321 |
$378K |
| 99401 |
|
13,497 |
12,489 |
$269K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,011 |
2,844 |
$80K |
| 87110 |
|
11,847 |
11,726 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
725 |
722 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
272 |
272 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
288 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,744 |
1,700 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
774 |
733 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,184 |
1,176 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
22,032 |
21,460 |
$14K |
| 90686 |
|
671 |
668 |
$9K |
| 90756 |
|
416 |
415 |
$9K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
129 |
126 |
$2K |
| 3074F |
|
1,366 |
1,293 |
$2K |
| 3078F |
|
1,170 |
1,107 |
$2K |
| 90674 |
|
68 |
68 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 3079F |
|
467 |
450 |
$353.00 |
| 90672 |
|
62 |
62 |
$318.96 |
| 90734 |
|
13 |
12 |
$255.00 |
| 3061F |
|
162 |
160 |
$203.00 |
| 3075F |
|
151 |
147 |
$179.50 |
| 90461 |
|
13 |
13 |
$152.32 |
| 3048F |
|
79 |
78 |
$77.00 |
| 3077F |
|
87 |
83 |
$76.00 |
| 82962 |
|
28 |
26 |
$55.77 |
| 3044F |
|
12 |
12 |
$14.00 |
| 3008F |
|
1,212 |
1,147 |
$10.00 |
| 3045F |
|
24 |
24 |
$0.03 |
| 3014F |
|
60 |
57 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
636 |
604 |
$0.00 |
| 3080F |
|
101 |
95 |
$0.00 |
| 4010F |
|
29 |
29 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
340 |
315 |
$0.00 |
| 3725F |
|
964 |
936 |
$0.00 |
| 3015F |
|
29 |
29 |
$0.00 |