| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,757 |
27,086 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,527 |
16,518 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,981 |
2,965 |
$28K |
| G9920 |
Screening performed and negative |
4,467 |
4,458 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,729 |
5,254 |
$12K |
| 97802 |
|
10,506 |
10,204 |
$6K |
| 90686 |
|
2,876 |
2,862 |
$4K |
| 90651 |
|
319 |
315 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
915 |
912 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
285 |
283 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
760 |
755 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
252 |
250 |
$2K |
| 90656 |
|
66 |
66 |
$2K |
| 99497 |
|
261 |
261 |
$1K |
| 92551 |
|
1,086 |
1,085 |
$924.46 |
| 96127 |
|
4,706 |
4,701 |
$885.73 |
| 1111F |
|
2,501 |
2,404 |
$821.30 |
| 97803 |
|
2,139 |
2,139 |
$638.50 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
226 |
225 |
$527.57 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
44 |
$506.04 |
| 90670 |
|
129 |
127 |
$410.85 |
| 85018 |
|
2,201 |
2,193 |
$369.98 |
| 90734 |
|
332 |
332 |
$346.36 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
71 |
71 |
$340.80 |
| 1160F |
|
10,068 |
9,540 |
$304.98 |
| 92552 |
|
1,606 |
1,606 |
$213.90 |
| 99173 |
|
2,817 |
2,817 |
$211.92 |
| 90685 |
|
16 |
12 |
$169.17 |
| 90698 |
|
92 |
91 |
$150.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
71 |
$143.26 |
| 81002 |
|
245 |
239 |
$123.68 |
| G9919 |
Screening performed and positive and provision of recommendations |
55 |
55 |
$87.00 |
| 1159F |
|
1,736 |
1,613 |
$87.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,799 |
4,790 |
$80.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,165 |
1,149 |
$70.88 |
| 90688 |
|
13 |
13 |
$49.88 |
| 90707 |
|
13 |
13 |
$36.00 |
| 90716 |
|
25 |
25 |
$36.00 |
| 99000 |
|
559 |
555 |
$35.10 |
| 3008F |
|
1,797 |
1,777 |
$29.01 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
399 |
397 |
$29.00 |
| 3078F |
|
4,924 |
4,834 |
$29.00 |
| 93000 |
|
12 |
12 |
$25.83 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,770 |
1,763 |
$25.36 |
| 3074F |
|
5,179 |
5,093 |
$24.99 |
| 90620 |
|
176 |
176 |
$18.00 |
| 82947 |
|
62 |
57 |
$12.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
489 |
414 |
$3.90 |
| 96160 |
|
4,164 |
4,158 |
$0.11 |
| 3725F |
|
611 |
611 |
$0.00 |
| 3077F |
|
394 |
390 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90461 |
|
257 |
231 |
$0.00 |
| 83655 |
|
44 |
44 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 3079F |
|
1,516 |
1,497 |
$0.00 |
| 3075F |
|
908 |
905 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,083 |
3,036 |
$0.00 |
| 3049F |
|
52 |
46 |
$0.00 |
| 1157F |
|
80 |
80 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 99385 |
|
39 |
39 |
$0.00 |
| 1125F |
|
157 |
150 |
$0.00 |
| 3048F |
|
138 |
135 |
$0.00 |
| 3080F |
|
115 |
113 |
$0.00 |
| 1126F |
|
78 |
77 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |