| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,219 |
13,966 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
669 |
619 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,145 |
2,061 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,638 |
3,532 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,153 |
4,029 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,029 |
1,964 |
$19K |
| G9920 |
Screening performed and negative |
5,200 |
5,118 |
$15K |
| 92551 |
|
8,772 |
8,715 |
$11K |
| 99381 |
|
144 |
137 |
$10K |
| 90697 |
|
235 |
233 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
446 |
425 |
$3K |
| 90670 |
|
734 |
730 |
$3K |
| 90688 |
|
708 |
707 |
$3K |
| 99383 |
|
49 |
46 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,888 |
2,853 |
$2K |
| 90648 |
|
394 |
394 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
161 |
154 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
713 |
688 |
$2K |
| 99460 |
|
28 |
28 |
$1K |
| 90649 |
|
1,736 |
1,728 |
$1K |
| 99188 |
|
426 |
419 |
$1K |
| 99462 |
|
40 |
28 |
$1K |
| 90723 |
|
192 |
192 |
$1K |
| 90734 |
|
1,114 |
1,108 |
$1K |
| 99384 |
|
14 |
14 |
$888.72 |
| 90681 |
|
56 |
55 |
$698.00 |
| 90633 |
|
304 |
304 |
$612.00 |
| 97802 |
|
464 |
454 |
$540.90 |
| 90710 |
|
367 |
367 |
$540.00 |
| 90686 |
|
326 |
326 |
$468.00 |
| 90715 |
|
416 |
416 |
$459.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
176 |
172 |
$448.47 |
| 90620 |
|
747 |
746 |
$387.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
29 |
$321.44 |
| 90696 |
|
184 |
184 |
$252.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
30 |
30 |
$170.59 |
| 90672 |
|
95 |
95 |
$144.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$104.79 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
102 |
102 |
$89.10 |
| 0001A |
|
88 |
86 |
$80.00 |
| 0002A |
|
91 |
91 |
$80.00 |
| 81002 |
|
327 |
313 |
$78.69 |
| 87081 |
|
184 |
184 |
$57.84 |
| 86580 |
|
13 |
13 |
$43.29 |
| 99173 |
|
7,658 |
7,608 |
$17.50 |
| H0049 |
Alcohol and/or drug screening |
1,608 |
1,524 |
$0.00 |
| 1220F |
|
206 |
203 |
$0.00 |
| 3351F |
|
866 |
862 |
$0.00 |
| 1036F |
|
3,398 |
3,021 |
$0.00 |
| 1000F |
|
10,701 |
10,054 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
52 |
52 |
$0.00 |
| 3074F |
|
24 |
24 |
$0.00 |
| 3353F |
|
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,957 |
4,905 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,814 |
3,773 |
$0.00 |
| 90461 |
|
2,598 |
2,587 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
88 |
88 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
75 |
73 |
$0.00 |
| 3078F |
|
24 |
24 |
$0.00 |