| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,826 |
3,163 |
$378K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,523 |
1,641 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,255 |
1,052 |
$229K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
587 |
504 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
134 |
121 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
128 |
111 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
41 |
$10K |
| 90698 |
|
50 |
41 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
35 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
91 |
74 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
586 |
390 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
478 |
365 |
$806.48 |
| 90686 |
|
116 |
65 |
$737.37 |
| 1159F |
|
2,317 |
1,816 |
$450.79 |
| 90677 |
|
14 |
14 |
$273.28 |
| 3008F |
|
1,180 |
947 |
$261.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
64 |
$101.80 |
| 90461 |
|
102 |
58 |
$63.30 |
| 90656 |
|
15 |
14 |
$53.59 |
| 96127 |
|
51 |
44 |
$44.10 |
| 99000 |
|
134 |
121 |
$35.38 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
34 |
$9.00 |
| 90670 |
|
14 |
14 |
$4.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
59 |
54 |
$0.06 |
| 1160F |
|
1,129 |
917 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 92552 |
|
12 |
12 |
$0.00 |
| 96160 |
|
21 |
21 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
14 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
47 |
41 |
$0.00 |
| 85018 |
|
25 |
25 |
$0.00 |
| 99349 |
|
14 |
12 |
$0.00 |