| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
2,205 |
2,194 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,177 |
2,085 |
$74K |
| 99462 |
|
2,374 |
1,758 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,967 |
8,249 |
$55K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
582 |
578 |
$33K |
| 92551 |
|
2,675 |
2,672 |
$23K |
| 90697 |
|
470 |
469 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,272 |
2,105 |
$11K |
| 92552 |
|
426 |
423 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,481 |
1,479 |
$4K |
| 90671 |
|
406 |
404 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
989 |
986 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,496 |
1,417 |
$4K |
| 90670 |
|
1,185 |
1,098 |
$4K |
| 99188 |
|
247 |
247 |
$4K |
| 90680 |
|
938 |
908 |
$3K |
| 97802 |
|
1,715 |
1,634 |
$3K |
| 90648 |
|
1,040 |
970 |
$2K |
| 90723 |
|
548 |
509 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
631 |
604 |
$1K |
| 99381 |
|
29 |
28 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,459 |
1,454 |
$1K |
| 90710 |
|
429 |
424 |
$804.86 |
| 90633 |
|
672 |
601 |
$750.48 |
| 90686 |
|
668 |
665 |
$711.87 |
| 0071A |
|
13 |
13 |
$420.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
263 |
259 |
$343.71 |
| 90700 |
|
186 |
169 |
$342.11 |
| 90649 |
|
61 |
48 |
$315.00 |
| 90651 |
|
254 |
254 |
$189.23 |
| 90696 |
|
83 |
83 |
$170.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
74 |
$136.85 |
| 90707 |
|
81 |
66 |
$115.83 |
| 90716 |
|
78 |
63 |
$106.92 |
| 90734 |
|
171 |
163 |
$95.64 |
| 99406 |
|
409 |
409 |
$84.98 |
| 90713 |
|
13 |
13 |
$44.55 |
| 99173 |
|
958 |
945 |
$26.44 |
| 90715 |
|
70 |
68 |
$23.50 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$10.00 |
| 92562 |
|
193 |
193 |
$0.00 |
| 90461 |
|
18 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
558 |
558 |
$0.00 |
| 97803 |
|
178 |
178 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
86 |
29 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$0.00 |
| 3008F |
|
284 |
284 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
505 |
503 |
$0.00 |
| 90656 |
|
38 |
37 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
102 |
102 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
84 |
$0.00 |