| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,683 |
16,196 |
$44K |
| G9920 |
Screening performed and negative |
6,152 |
6,135 |
$23K |
| 96156 |
|
6,315 |
6,300 |
$7K |
| 0124A |
|
147 |
147 |
$6K |
| 92551 |
|
5,560 |
5,551 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,423 |
6,862 |
$5K |
| 0071A |
|
113 |
113 |
$5K |
| 0072A |
|
106 |
106 |
$4K |
| 90480 |
|
92 |
92 |
$4K |
| 0004A |
|
84 |
84 |
$3K |
| 0002A |
|
81 |
81 |
$3K |
| 0001A |
|
79 |
79 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,588 |
1,586 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,992 |
1,992 |
$2K |
| 90686 |
|
1,836 |
1,830 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 85018 |
|
3,435 |
3,431 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,031 |
1,024 |
$1K |
| 99188 |
|
1,482 |
1,472 |
$862.62 |
| 0064A |
|
13 |
13 |
$520.00 |
| 0154A |
|
13 |
13 |
$520.00 |
| 90648 |
|
139 |
139 |
$351.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,479 |
2,475 |
$264.75 |
| 81002 |
|
2,586 |
2,579 |
$263.93 |
| 92081 |
|
5,273 |
5,269 |
$235.30 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
244 |
244 |
$205.20 |
| 90670 |
|
90 |
89 |
$135.00 |
| 90620 |
|
345 |
344 |
$135.00 |
| 90734 |
|
515 |
514 |
$90.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
410 |
404 |
$89.84 |
| 99000 |
|
350 |
350 |
$78.61 |
| 90651 |
|
531 |
530 |
$63.00 |
| 90656 |
|
72 |
72 |
$9.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
242 |
211 |
$0.00 |
| 90633 |
|
185 |
185 |
$0.00 |
| 90715 |
|
112 |
112 |
$0.00 |
| 90707 |
|
221 |
221 |
$0.00 |
| 90700 |
|
268 |
268 |
$0.00 |
| 3077F |
|
56 |
54 |
$0.00 |
| 3078F |
|
993 |
957 |
$0.00 |
| 90713 |
|
72 |
72 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
69 |
69 |
$0.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
14 |
14 |
$0.00 |
| 90674 |
|
79 |
79 |
$0.00 |
| 87110 |
|
488 |
488 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
601 |
601 |
$0.00 |
| 3075F |
|
74 |
74 |
$0.00 |
| 1036F |
|
2,343 |
2,337 |
$0.00 |
| 3079F |
|
193 |
192 |
$0.00 |
| 81000 |
|
95 |
95 |
$0.00 |
| 90716 |
|
209 |
209 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
186 |
164 |
$0.00 |
| 3074F |
|
1,124 |
1,092 |
$0.00 |
| 96151 |
|
47 |
47 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| 85032 |
|
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
85 |
82 |
$0.00 |
| 99172 |
|
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| 90657 |
|
22 |
18 |
$0.00 |