| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,456 |
3,173 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,692 |
1,564 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
372 |
369 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
261 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
231 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
536 |
535 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
75 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
145 |
143 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
292 |
285 |
$3K |
| 99188 |
|
74 |
74 |
$723.30 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
50 |
50 |
$600.60 |
| 90660 |
|
33 |
33 |
$543.31 |
| 90651 |
|
25 |
25 |
$250.71 |
| 90670 |
|
30 |
29 |
$170.00 |
| 90461 |
|
13 |
13 |
$132.00 |
| 90734 |
|
12 |
12 |
$55.88 |
| 90633 |
|
16 |
16 |
$42.29 |
| 90672 |
|
45 |
45 |
$40.00 |
| 90648 |
|
40 |
40 |
$30.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$18.82 |
| 96127 |
|
27 |
27 |
$9.62 |
| 3078F |
|
1,346 |
1,209 |
$0.00 |
| 3074F |
|
1,299 |
1,184 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
15 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |