| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,763 |
4,688 |
$407K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,088 |
1,070 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,111 |
2,082 |
$55K |
| 92552 |
|
1,810 |
1,807 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
584 |
584 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
649 |
649 |
$45K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,082 |
1,042 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
226 |
226 |
$16K |
| H0049 |
Alcohol and/or drug screening |
629 |
629 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
411 |
410 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,871 |
1,855 |
$6K |
| 92081 |
|
143 |
143 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
332 |
330 |
$4K |
| 86580 |
|
472 |
471 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
201 |
201 |
$2K |
| 99173 |
|
962 |
960 |
$1K |
| 96160 |
|
186 |
186 |
$585.58 |
| 36410 |
|
45 |
45 |
$561.00 |
| 90461 |
|
39 |
39 |
$550.44 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
38 |
38 |
$548.06 |
| 90686 |
|
400 |
396 |
$178.65 |
| 96127 |
|
15 |
15 |
$59.64 |
| 99401 |
|
43 |
42 |
$0.00 |
| G9818 |
Documentation of sexual activity |
14 |
14 |
$0.00 |
| 99000 |
|
39 |
39 |
$0.00 |
| 97802 |
|
453 |
450 |
$0.00 |
| 1000F |
|
97 |
97 |
$0.00 |
| 3008F |
|
682 |
678 |
$0.00 |
| 90656 |
|
86 |
86 |
$0.00 |