| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,941 |
12,977 |
$906K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,273 |
2,251 |
$169K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,061 |
2,031 |
$154K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,772 |
1,754 |
$133K |
| 92587 |
|
4,769 |
4,715 |
$116K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,055 |
5,965 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,208 |
1,168 |
$81K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,400 |
2,363 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
536 |
528 |
$43K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,728 |
2,714 |
$40K |
| 99441 |
|
1,094 |
1,019 |
$32K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
1,366 |
1,360 |
$16K |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
1,430 |
1,422 |
$11K |
| 92568 |
|
679 |
653 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
105 |
$8K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,444 |
1,430 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
474 |
466 |
$5K |
| 99442 |
|
85 |
84 |
$3K |
| 99406 |
|
806 |
799 |
$3K |
| 92567 |
|
666 |
639 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
279 |
274 |
$2K |
| 90686 |
|
2,951 |
2,926 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| H0033 |
Oral medication administration, direct observation |
50 |
48 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
82 |
82 |
$520.39 |
| 90688 |
|
111 |
109 |
$237.31 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$178.53 |
| 81025 |
|
39 |
39 |
$157.11 |
| 90651 |
|
255 |
251 |
$134.00 |
| 99173 |
|
63 |
63 |
$94.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$73.40 |
| 99172 |
|
14 |
12 |
$57.08 |
| 90685 |
|
16 |
16 |
$21.20 |
| 83655 |
|
13 |
13 |
$6.84 |
| 36415 |
Collection of venous blood by venipuncture |
735 |
726 |
$3.30 |
| 3008F |
|
162 |
148 |
$0.02 |
| 90670 |
|
532 |
522 |
$0.00 |
| 90648 |
|
274 |
266 |
$0.00 |
| 90734 |
|
234 |
234 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90633 |
|
176 |
175 |
$0.00 |
| 90680 |
|
220 |
214 |
$0.00 |
| 90620 |
|
126 |
126 |
$0.00 |
| 90723 |
|
44 |
39 |
$0.00 |
| 1036F |
|
20 |
15 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |