| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
751 |
751 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,943 |
14,997 |
$70K |
| 92551 |
|
3,591 |
3,573 |
$68K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,983 |
2,981 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,168 |
1,168 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
639 |
638 |
$56K |
| 90686 |
|
1,874 |
1,872 |
$37K |
| 90682 |
|
434 |
434 |
$27K |
| 99497 |
|
280 |
280 |
$22K |
| 99173 |
|
2,344 |
2,336 |
$13K |
| 81002 |
|
5,993 |
5,948 |
$13K |
| 85018 |
|
5,688 |
5,666 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
994 |
971 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,191 |
1,189 |
$5K |
| 86580 |
|
960 |
942 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$3K |
| 82962 |
|
2,567 |
2,326 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
891 |
890 |
$2K |
| 90620 |
|
107 |
107 |
$2K |
| 90734 |
|
103 |
103 |
$2K |
| 90651 |
|
88 |
88 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
84 |
84 |
$1K |
| 90674 |
|
29 |
29 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,542 |
1,512 |
$1K |
| 90662 |
|
287 |
287 |
$960.49 |
| 90656 |
|
54 |
54 |
$945.00 |
| 90673 |
|
19 |
19 |
$856.33 |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$614.68 |
| 99397 |
|
307 |
306 |
$598.85 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$530.42 |
| 90661 |
|
22 |
22 |
$481.50 |
| 90715 |
|
15 |
15 |
$421.26 |
| 90714 |
|
14 |
14 |
$417.62 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
16 |
15 |
$400.50 |
| 90670 |
|
21 |
21 |
$378.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
14 |
14 |
$346.50 |
| 90633 |
|
19 |
19 |
$342.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$81.45 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$6.60 |
| G0008 |
Administration of influenza virus vaccine |
314 |
314 |
$0.00 |