| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,958 |
7,973 |
$935K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,060 |
3,916 |
$542K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,564 |
1,563 |
$158K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,110 |
1,109 |
$128K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,191 |
3,189 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
570 |
550 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
475 |
472 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,609 |
1,596 |
$32K |
| 99460 |
|
171 |
168 |
$15K |
| 90461 |
|
377 |
373 |
$13K |
| 90656 |
|
646 |
646 |
$12K |
| 99462 |
|
178 |
173 |
$11K |
| 90660 |
|
427 |
426 |
$10K |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,107 |
1,107 |
$9K |
| S9449 |
Weight management classes, non-physician provider, per session |
1,104 |
1,104 |
$9K |
| H0001 |
Alcohol and/or drug assessment |
492 |
491 |
$5K |
| S9451 |
Exercise classes, non-physician provider, per session |
511 |
511 |
$4K |
| S9453 |
Smoking cessation classes, non-physician provider, per session |
454 |
454 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$3K |
| 0072A |
|
32 |
32 |
$1K |
| 90655 |
|
73 |
73 |
$1K |
| 0071A |
|
21 |
21 |
$805.76 |
| 91307 |
|
67 |
67 |
$68.81 |
| 90649 |
|
57 |
57 |
$0.00 |
| 90670 |
|
153 |
152 |
$0.00 |
| 90734 |
|
55 |
55 |
$0.00 |
| 90647 |
|
154 |
154 |
$0.00 |
| 90723 |
|
87 |
87 |
$0.00 |
| 90680 |
|
85 |
85 |
$0.00 |