| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,941 |
20,382 |
$119K |
| 90651 |
|
1,249 |
1,244 |
$81K |
| G9920 |
Screening performed and negative |
5,001 |
4,995 |
$57K |
| 99381 |
|
408 |
385 |
$40K |
| 90619 |
|
354 |
354 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,958 |
6,941 |
$19K |
| 99460 |
|
322 |
316 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,379 |
1,355 |
$12K |
| 97802 |
|
10,125 |
10,107 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,395 |
3,386 |
$3K |
| 99462 |
|
87 |
62 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
56 |
55 |
$2K |
| 90670 |
|
1,587 |
1,582 |
$2K |
| 90698 |
|
911 |
908 |
$2K |
| 90744 |
|
834 |
830 |
$2K |
| 90680 |
|
625 |
622 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,108 |
3,872 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,296 |
4,292 |
$868.27 |
| 92551 |
|
8,131 |
8,115 |
$644.74 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
10,671 |
10,652 |
$407.96 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,242 |
3,236 |
$358.67 |
| 90688 |
|
61 |
61 |
$223.00 |
| 90620 |
|
702 |
700 |
$159.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,867 |
7,715 |
$138.14 |
| 90655 |
|
65 |
63 |
$108.00 |
| 90686 |
|
3,927 |
3,918 |
$106.98 |
| 90633 |
|
988 |
986 |
$54.00 |
| 90707 |
|
556 |
556 |
$45.00 |
| 96160 |
|
10,230 |
10,203 |
$35.00 |
| 99173 |
|
7,340 |
7,330 |
$33.84 |
| 90716 |
|
569 |
569 |
$27.00 |
| 90700 |
|
653 |
653 |
$27.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,771 |
1,771 |
$21.18 |
| 90715 |
|
565 |
564 |
$18.00 |
| 90734 |
|
843 |
839 |
$9.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,221 |
3,168 |
$7.50 |
| 96156 |
|
1,434 |
1,432 |
$0.00 |
| 81000 |
|
48 |
48 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| 90713 |
|
92 |
92 |
$0.00 |
| 90685 |
|
63 |
63 |
$0.00 |
| 90649 |
|
54 |
54 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 90710 |
|
66 |
66 |
$0.00 |
| 81002 |
|
669 |
665 |
$0.00 |
| 90648 |
|
79 |
79 |
$0.00 |
| 90658 |
|
106 |
97 |
$0.00 |