| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
947 |
927 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,480 |
1,464 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,233 |
6,850 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,389 |
1,379 |
$38K |
| 99381 |
|
250 |
245 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,404 |
4,272 |
$15K |
| 92552 |
|
1,841 |
1,831 |
$14K |
| 90686 |
|
2,069 |
2,058 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
329 |
329 |
$9K |
| 92551 |
|
1,291 |
1,278 |
$9K |
| 85018 |
|
5,228 |
5,138 |
$7K |
| 90670 |
|
1,016 |
1,005 |
$5K |
| 90651 |
|
155 |
153 |
$4K |
| 90648 |
|
784 |
778 |
$4K |
| 90723 |
|
606 |
600 |
$4K |
| 90680 |
|
493 |
487 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
154 |
154 |
$3K |
| 99173 |
|
2,166 |
2,159 |
$2K |
| 90710 |
|
328 |
326 |
$1K |
| 90633 |
|
205 |
204 |
$681.75 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
74 |
$663.73 |
| 90685 |
|
33 |
26 |
$507.51 |
| 81002 |
|
729 |
718 |
$430.65 |
| 0071A |
|
12 |
12 |
$420.00 |
| 99000 |
|
1,655 |
1,624 |
$417.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
181 |
179 |
$397.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
79 |
$390.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
405 |
395 |
$361.34 |
| 90696 |
|
84 |
83 |
$315.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,548 |
2,495 |
$291.00 |
| 90734 |
|
81 |
81 |
$279.00 |
| 90671 |
|
57 |
57 |
$243.00 |
| 90697 |
|
39 |
39 |
$193.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$104.94 |
| 90700 |
|
26 |
26 |
$81.00 |
| 90715 |
|
30 |
30 |
$63.00 |
| 82962 |
|
610 |
585 |
$55.18 |
| 92081 |
|
806 |
805 |
$32.62 |
| 3074F |
|
6,365 |
6,173 |
$20.20 |
| 90688 |
|
48 |
48 |
$20.15 |
| 3008F |
|
8,821 |
8,471 |
$15.40 |
| 81025 |
|
40 |
39 |
$8.31 |
| 3078F |
|
6,306 |
6,117 |
$0.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
485 |
485 |
$0.13 |
| 3079F |
|
1,124 |
1,100 |
$0.10 |
| 3077F |
|
377 |
364 |
$0.07 |
| 3075F |
|
532 |
524 |
$0.07 |
| 99401 |
|
197 |
197 |
$0.00 |
| 1159F |
|
550 |
544 |
$0.00 |
| 1160F |
|
658 |
652 |
$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) |
431 |
419 |
$0.00 |
| 3725F |
|
749 |
745 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
286 |
286 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
25 |
25 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
197 |
197 |
$0.00 |
| 1036F |
|
897 |
889 |
$0.00 |
| 90657 |
|
31 |
31 |
$0.00 |
| 99441 |
|
231 |
219 |
$0.00 |
| 97802 |
|
197 |
197 |
$0.00 |
| 85032 |
|
120 |
120 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
195 |
195 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 81000 |
|
12 |
12 |
$0.00 |
| 90647 |
|
30 |
30 |
$0.00 |
| 99172 |
|
15 |
15 |
$0.00 |