| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,209 |
9,246 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,605 |
1,600 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,428 |
1,426 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
464 |
456 |
$10K |
| 92552 |
|
4,605 |
4,602 |
$9K |
| 90686 |
|
1,245 |
1,241 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
331 |
323 |
$3K |
| 99050 |
|
213 |
209 |
$2K |
| 90651 |
|
523 |
519 |
$1K |
| 86580 |
|
900 |
899 |
$1K |
| 99173 |
|
2,211 |
2,209 |
$761.98 |
| 90619 |
|
318 |
315 |
$639.75 |
| 90670 |
|
127 |
126 |
$603.75 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$538.24 |
| 90715 |
|
160 |
159 |
$419.25 |
| 90734 |
|
116 |
116 |
$283.75 |
| 90633 |
|
88 |
87 |
$245.50 |
| 92081 |
|
1,746 |
1,746 |
$217.88 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
136 |
136 |
$160.50 |
| 90621 |
|
61 |
61 |
$149.50 |
| 90671 |
|
38 |
38 |
$140.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
116 |
116 |
$132.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$129.28 |
| 90656 |
|
32 |
32 |
$109.60 |
| 90710 |
|
48 |
47 |
$103.00 |
| 90716 |
|
30 |
29 |
$82.50 |
| 90744 |
|
12 |
12 |
$81.00 |
| 90696 |
|
30 |
29 |
$55.50 |
| 90698 |
|
12 |
12 |
$54.00 |
| 90685 |
|
13 |
13 |
$37.00 |
| 94760 |
|
45 |
44 |
$33.18 |
| H0049 |
Alcohol and/or drug screening |
108 |
108 |
$0.00 |