| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,046 |
46,325 |
$5.21M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,780 |
5,470 |
$449K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,973 |
8,867 |
$359K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,266 |
4,196 |
$326K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,885 |
3,411 |
$290K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,972 |
1,952 |
$169K |
| 99401 |
|
7,607 |
7,055 |
$155K |
| 99442 |
|
1,770 |
1,659 |
$109K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,640 |
12,172 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,907 |
1,856 |
$77K |
| 90461 |
|
2,087 |
2,069 |
$62K |
| 97802 |
|
11,453 |
11,126 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
404 |
389 |
$42K |
| 99381 |
|
482 |
477 |
$37K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
4,480 |
4,413 |
$33K |
| 99383 |
|
402 |
402 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
173 |
$16K |
| S9451 |
Exercise classes, non-physician provider, per session |
4,912 |
4,850 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
130 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,078 |
1,064 |
$11K |
| 99382 |
|
157 |
156 |
$11K |
| 36406 |
|
1,530 |
1,518 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
410 |
404 |
$9K |
| 99384 |
|
81 |
80 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
7,477 |
7,420 |
$6K |
| 90670 |
|
709 |
706 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
522 |
519 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
145 |
120 |
$2K |
| 90658 |
|
139 |
139 |
$2K |
| 0038U |
|
535 |
532 |
$2K |
| 92587 |
|
179 |
177 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
4,291 |
4,238 |
$2K |
| 99173 |
|
1,542 |
1,531 |
$2K |
| 90716 |
|
586 |
575 |
$1K |
| 96127 |
|
404 |
404 |
$907.03 |
| 90656 |
|
190 |
187 |
$802.86 |
| 83655 |
|
121 |
113 |
$687.03 |
| 99051 |
|
167 |
165 |
$645.40 |
| 90707 |
|
443 |
433 |
$563.70 |
| 90723 |
|
421 |
421 |
$529.15 |
| 90648 |
|
733 |
731 |
$525.00 |
| 90686 |
|
751 |
748 |
$516.94 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
461 |
458 |
$146.80 |
| 82652 |
|
512 |
510 |
$139.40 |
| 90734 |
|
66 |
65 |
$122.30 |
| 90633 |
|
122 |
122 |
$96.00 |
| 90700 |
|
188 |
185 |
$50.00 |
| 99172 |
|
743 |
742 |
$41.94 |
| G9275 |
Documentation that patient is a current non-tobacco user |
59 |
59 |
$36.00 |
| 81003 |
|
25 |
24 |
$27.63 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
533 |
533 |
$18.00 |
| 36410 |
|
73 |
73 |
$17.34 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,402 |
1,393 |
$0.00 |
| 3725F |
|
472 |
472 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 90713 |
|
53 |
52 |
$0.00 |
| 90685 |
|
15 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,140 |
5,964 |
$0.00 |
| 99000 |
|
6,891 |
6,763 |
$0.00 |
| 3008F |
|
8,404 |
8,160 |
$0.00 |
| 1000F |
|
59 |
59 |
$0.00 |
| 1111F |
|
220 |
215 |
$0.00 |
| 90680 |
|
166 |
166 |
$0.00 |
| G9416 |
Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays |
13 |
13 |
$0.00 |
| 1036F |
|
59 |
59 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |