| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,832 |
26,697 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,715 |
3,600 |
$45K |
| 92551 |
|
11,603 |
11,583 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,665 |
4,652 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,527 |
3,507 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,763 |
12,539 |
$12K |
| 90688 |
|
2,807 |
2,795 |
$10K |
| 99050 |
|
1,164 |
1,124 |
$8K |
| 90686 |
|
1,635 |
1,620 |
$6K |
| 90651 |
|
1,463 |
1,447 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,599 |
2,512 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
215 |
212 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,899 |
2,885 |
$4K |
| 90756 |
|
524 |
523 |
$2K |
| 90670 |
|
541 |
535 |
$2K |
| 90621 |
|
841 |
838 |
$2K |
| 90685 |
|
224 |
191 |
$2K |
| 86580 |
|
594 |
592 |
$2K |
| 90734 |
|
842 |
839 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$1K |
| 90700 |
|
479 |
476 |
$1K |
| 90656 |
|
363 |
359 |
$841.09 |
| 99173 |
|
9,477 |
9,373 |
$787.69 |
| 90633 |
|
197 |
195 |
$769.00 |
| 90744 |
|
191 |
189 |
$764.25 |
| 90687 |
|
199 |
195 |
$668.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
292 |
290 |
$539.10 |
| 90707 |
|
223 |
222 |
$413.75 |
| 90716 |
|
225 |
222 |
$373.75 |
| 90713 |
|
225 |
224 |
$353.75 |
| 90715 |
|
142 |
142 |
$336.50 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$329.28 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,963 |
3,927 |
$252.08 |
| 92081 |
|
850 |
850 |
$188.58 |
| 90680 |
|
28 |
27 |
$173.00 |
| 90698 |
|
30 |
29 |
$173.00 |
| 90710 |
|
38 |
38 |
$164.75 |
| 90648 |
|
25 |
25 |
$111.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
135 |
$85.10 |
| 3008F |
|
12,545 |
12,255 |
$30.00 |
| 97803 |
|
9,837 |
9,727 |
$16.94 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,749 |
4,630 |
$10.00 |
| 3725F |
|
4,750 |
4,631 |
$0.00 |
| 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 |
4,895 |
4,858 |
$0.00 |
| 99401 |
|
43 |
43 |
$0.00 |
| G0271 |
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), group (2 or more individuals), each 30 minutes |
12 |
12 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$0.00 |
| 97802 |
|
57 |
57 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |