| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
480 |
364 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,378 |
3,243 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,956 |
9,439 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,591 |
1,579 |
$3K |
| G9920 |
Screening performed and negative |
1,845 |
1,837 |
$3K |
| 92551 |
|
1,651 |
1,649 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
326 |
325 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
261 |
261 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$765.38 |
| 90686 |
|
446 |
446 |
$609.58 |
| 90674 |
|
23 |
23 |
$512.44 |
| 85018 |
|
1,855 |
1,811 |
$283.92 |
| 99000 |
|
117 |
117 |
$239.96 |
| 81003 |
|
1,516 |
1,461 |
$232.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,274 |
1,259 |
$172.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
200 |
194 |
$122.76 |
| 90670 |
|
64 |
64 |
$108.00 |
| 81025 |
|
50 |
46 |
$106.05 |
| 93000 |
|
570 |
565 |
$102.49 |
| 90734 |
|
26 |
25 |
$90.00 |
| 90648 |
|
29 |
29 |
$81.00 |
| 90715 |
|
13 |
13 |
$72.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,640 |
3,571 |
$43.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$33.74 |
| 90649 |
|
28 |
28 |
$27.00 |
| 90651 |
|
12 |
12 |
$18.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
301 |
293 |
$4.78 |
| 3078F |
|
1,616 |
1,580 |
$0.00 |
| 0502F |
|
387 |
297 |
$0.00 |
| 99173 |
|
1,345 |
1,344 |
$0.00 |
| 3077F |
|
236 |
230 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
463 |
455 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
28 |
28 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
418 |
415 |
$0.00 |
| 99401 |
|
1,437 |
1,426 |
$0.00 |
| 3725F |
|
436 |
432 |
$0.00 |
| 99499 |
|
75 |
75 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
111 |
108 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
58 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,226 |
2,175 |
$0.00 |
| 3074F |
|
1,607 |
1,572 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,318 |
1,311 |
$0.00 |
| 3075F |
|
143 |
142 |
$0.00 |
| 3079F |
|
396 |
390 |
$0.00 |
| 3044F |
|
269 |
268 |
$0.00 |
| 3017F |
|
38 |
38 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
129 |
129 |
$0.00 |
| 3080F |
|
28 |
28 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |