| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,428 |
2,266 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
472 |
469 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
832 |
830 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
372 |
369 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
331 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
209 |
206 |
$3K |
| 97803 |
|
1,672 |
1,669 |
$3K |
| 96156 |
|
701 |
701 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,320 |
1,245 |
$3K |
| 92551 |
|
1,137 |
1,136 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,236 |
1,223 |
$2K |
| 90686 |
|
789 |
788 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$1K |
| 96151 |
|
648 |
646 |
$702.80 |
| G9920 |
Screening performed and negative |
453 |
453 |
$602.71 |
| 85018 |
|
1,377 |
1,353 |
$509.78 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,267 |
1,262 |
$483.07 |
| 81000 |
|
1,337 |
1,334 |
$421.52 |
| 99173 |
|
1,134 |
1,133 |
$344.50 |
| 92552 |
|
91 |
91 |
$268.62 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
190 |
190 |
$257.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
265 |
265 |
$180.03 |
| 90651 |
|
55 |
55 |
$171.00 |
| 3008F |
|
3,256 |
3,052 |
$166.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
62 |
$102.32 |
| 90685 |
|
12 |
12 |
$75.00 |
| 90734 |
|
27 |
27 |
$63.00 |
| 3074F |
|
678 |
613 |
$61.00 |
| 90688 |
|
19 |
18 |
$30.00 |
| 96127 |
|
79 |
79 |
$19.04 |
| 3078F |
|
479 |
434 |
$6.00 |
| 3079F |
|
81 |
75 |
$3.00 |
| 3077F |
|
57 |
52 |
$1.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
74 |
71 |
$0.00 |
| 36416 |
|
46 |
46 |
$0.00 |
| 3080F |
|
42 |
39 |
$0.00 |