| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,359 |
20,156 |
$49K |
| 92552 |
|
2,241 |
2,222 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,206 |
1,185 |
$9K |
| 90671 |
|
352 |
352 |
$3K |
| 0072A |
|
73 |
73 |
$3K |
| 0071A |
|
71 |
71 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,228 |
3,183 |
$2K |
| 99460 |
|
27 |
27 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,849 |
1,836 |
$1K |
| 87430 |
|
137 |
134 |
$1K |
| 90670 |
|
92 |
92 |
$965.16 |
| 99461 |
|
12 |
12 |
$943.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
301 |
$913.76 |
| 90685 |
|
41 |
41 |
$806.06 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,894 |
2,848 |
$707.70 |
| 0002A |
|
14 |
14 |
$560.00 |
| 0004A |
|
12 |
12 |
$480.00 |
| 90698 |
|
285 |
285 |
$206.73 |
| 90680 |
|
45 |
45 |
$205.24 |
| 90716 |
|
308 |
308 |
$201.22 |
| 90707 |
|
327 |
327 |
$119.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,079 |
2,062 |
$93.61 |
| 90700 |
|
241 |
241 |
$56.45 |
| 90744 |
|
111 |
111 |
$53.73 |
| 90633 |
|
293 |
293 |
$26.73 |
| 90672 |
|
60 |
60 |
$20.95 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
171 |
171 |
$16.33 |
| 85018 |
|
741 |
730 |
$16.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,016 |
1,013 |
$11.35 |
| 81000 |
|
508 |
495 |
$10.72 |
| 90648 |
|
14 |
14 |
$9.00 |
| 1220F |
|
90 |
89 |
$0.00 |
| 1036F |
|
1,283 |
1,282 |
$0.00 |
| 3351F |
|
80 |
79 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,496 |
1,494 |
$0.00 |
| 90686 |
|
136 |
135 |
$0.00 |
| 90619 |
|
24 |
24 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| G9920 |
Screening performed and negative |
5,309 |
5,294 |
$0.00 |
| 90713 |
|
53 |
53 |
$0.00 |
| 83655 |
|
38 |
38 |
$0.00 |
| 81002 |
|
42 |
42 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |