| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34,157 |
29,978 |
$457K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,305 |
8,107 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,377 |
8,164 |
$167K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,276 |
5,138 |
$61K |
| 87110 |
|
3,505 |
3,499 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,880 |
7,854 |
$46K |
| 86580 |
|
6,206 |
6,189 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,163 |
2,126 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,619 |
2,532 |
$37K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,833 |
5,822 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,063 |
2,992 |
$25K |
| 99401 |
|
13,739 |
13,705 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,358 |
2,333 |
$24K |
| 90473 |
|
1,299 |
1,298 |
$19K |
| 96160 |
|
96 |
85 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
8,752 |
8,720 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
128 |
128 |
$2K |
| 90686 |
|
4,468 |
4,458 |
$2K |
| 90734 |
|
1,442 |
1,441 |
$1K |
| 99383 |
|
48 |
47 |
$761.79 |
| 90620 |
|
1,390 |
1,388 |
$750.01 |
| 90670 |
|
1,357 |
1,356 |
$725.47 |
| 90716 |
|
1,149 |
1,147 |
$651.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
74 |
$622.96 |
| 99384 |
|
50 |
50 |
$600.91 |
| 90633 |
|
1,634 |
1,629 |
$492.25 |
| 90707 |
|
1,010 |
1,008 |
$475.04 |
| 90651 |
|
1,930 |
1,927 |
$240.00 |
| 99382 |
|
13 |
13 |
$186.98 |
| 90647 |
|
824 |
823 |
$150.00 |
| 90723 |
|
225 |
224 |
$100.00 |
| 90715 |
|
530 |
530 |
$99.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$94.56 |
| 3074F |
|
825 |
823 |
$87.50 |
| 3078F |
|
750 |
748 |
$77.50 |
| 90700 |
|
178 |
178 |
$75.00 |
| 0071A |
|
177 |
171 |
$40.00 |
| 90656 |
|
500 |
500 |
$22.35 |
| 90685 |
|
64 |
64 |
$21.20 |
| 99441 |
|
42 |
42 |
$12.33 |
| 91300 |
|
116 |
109 |
$11.70 |
| 3079F |
|
52 |
52 |
$7.50 |
| 90671 |
|
205 |
203 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,034 |
1,032 |
$0.00 |
| 86480 |
|
678 |
678 |
$0.00 |
| 90672 |
|
376 |
376 |
$0.00 |
| 3725F |
|
335 |
335 |
$0.00 |
| 90713 |
|
46 |
46 |
$0.00 |
| 90681 |
|
113 |
112 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
92 |
92 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
16 |
16 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |
| 0072A |
|
151 |
150 |
$0.00 |
| 1220F |
|
5,742 |
5,732 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,027 |
1,025 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12,223 |
12,168 |
$0.00 |
| 4293F |
|
5,756 |
5,746 |
$0.00 |
| 90680 |
|
74 |
74 |
$0.00 |
| 90677 |
|
185 |
185 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
273 |
273 |
$0.00 |
| 90696 |
|
128 |
126 |
$0.00 |
| 86481 |
|
2,143 |
2,139 |
$0.00 |
| 90619 |
|
260 |
260 |
$0.00 |
| 99429 |
|
18 |
18 |
$0.00 |
| 90697 |
|
151 |
151 |
$0.00 |
| 90744 |
|
28 |
28 |
$0.00 |
| 91307 |
|
376 |
346 |
$0.00 |
| 90674 |
|
249 |
249 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |