| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,921 |
19,260 |
$1.61M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,429 |
8,299 |
$928K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,791 |
7,589 |
$273K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,473 |
2,927 |
$148K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,222 |
6,079 |
$108K |
| 92567 |
|
7,460 |
7,007 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,022 |
1,013 |
$86K |
| 99188 |
|
5,521 |
5,498 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
729 |
729 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
683 |
679 |
$59K |
| 92551 |
|
4,142 |
4,136 |
$38K |
| 94060 |
|
717 |
703 |
$34K |
| 92587 |
|
1,538 |
1,458 |
$26K |
| 99429 |
|
1,103 |
952 |
$22K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,215 |
1,208 |
$19K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
1,088 |
1,066 |
$17K |
| 90461 |
|
432 |
427 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,012 |
926 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
123 |
119 |
$9K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,137 |
967 |
$8K |
| 99406 |
|
664 |
656 |
$5K |
| 96127 |
|
1,272 |
1,265 |
$4K |
| H0049 |
Alcohol and/or drug screening |
549 |
549 |
$4K |
| 99173 |
|
2,219 |
2,216 |
$3K |
| 90686 |
|
1,275 |
1,274 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,690 |
1,639 |
$2K |
| 94664 |
|
189 |
182 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,909 |
1,893 |
$2K |
| 0071A |
|
29 |
29 |
$1K |
| 0124A |
|
28 |
28 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90656 |
|
262 |
262 |
$793.64 |
| 0072A |
|
13 |
13 |
$518.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
25 |
$473.58 |
| 99401 |
|
17 |
17 |
$454.58 |
| 94010 |
|
14 |
14 |
$436.90 |
| 97802 |
|
175 |
174 |
$336.38 |
| 96160 |
|
91 |
91 |
$171.66 |
| 96161 |
|
46 |
45 |
$128.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$119.64 |
| 91307 |
|
35 |
35 |
$0.35 |
| 91312 |
|
28 |
28 |
$0.28 |