| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99050 |
|
3,561 |
3,221 |
$109K |
| 96160 |
|
4,127 |
3,551 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,461 |
77,907 |
$74K |
| 88150 |
|
3,793 |
3,411 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,997 |
2,722 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,457 |
2,807 |
$30K |
| 90670 |
|
2,035 |
1,789 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27,531 |
22,403 |
$17K |
| 0011A |
|
480 |
470 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,514 |
3,935 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,573 |
1,654 |
$15K |
| 0012A |
|
327 |
322 |
$11K |
| 99441 |
|
15,302 |
12,690 |
$11K |
| 0003A |
|
259 |
251 |
$10K |
| 90700 |
|
3,370 |
2,960 |
$8K |
| 0001A |
|
249 |
229 |
$8K |
| 99442 |
|
9,569 |
8,082 |
$7K |
| 0002A |
|
188 |
175 |
$6K |
| 90649 |
|
1,505 |
1,355 |
$5K |
| 90656 |
|
1,690 |
1,585 |
$5K |
| 90716 |
|
1,221 |
1,068 |
$5K |
| 88142 |
|
236 |
160 |
$5K |
| 90713 |
|
1,890 |
1,581 |
$5K |
| 90734 |
|
1,256 |
1,100 |
$5K |
| 90647 |
|
1,897 |
1,640 |
$4K |
| 90707 |
|
1,210 |
1,073 |
$4K |
| 0071A |
|
94 |
92 |
$3K |
| 90634 |
|
1,176 |
1,069 |
$3K |
| 90740 |
|
980 |
849 |
$3K |
| 0072A |
|
71 |
69 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,150 |
1,098 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
649 |
616 |
$2K |
| 90715 |
|
424 |
382 |
$2K |
| 90620 |
|
315 |
298 |
$1K |
| 90681 |
|
243 |
174 |
$776.00 |
| 0013A |
|
15 |
15 |
$600.00 |
| 99443 |
|
341 |
298 |
$496.53 |
| 99385 |
|
341 |
335 |
$252.72 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
697 |
679 |
$236.90 |
| 90680 |
|
83 |
76 |
$210.30 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,064 |
1,039 |
$118.45 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,184 |
1,149 |
$118.45 |
| 99381 |
|
27 |
27 |
$97.48 |
| 99383 |
|
121 |
118 |
$71.07 |
| 99384 |
|
49 |
48 |
$48.74 |
| 99382 |
|
70 |
68 |
$48.74 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,511 |
1,443 |
$47.38 |
| 96127 |
|
9,915 |
9,041 |
$46.29 |
| 99386 |
|
61 |
61 |
$28.08 |
| 99401 |
|
19 |
14 |
$0.03 |
| 91301 |
|
838 |
777 |
$0.02 |
| 3044F |
|
1,659 |
1,435 |
$0.00 |
| 4010F |
|
960 |
803 |
$0.00 |
| 1157F |
|
2,100 |
1,818 |
$0.00 |
| 3074F |
|
12,370 |
9,973 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,196 |
9,208 |
$0.00 |
| 3079F |
|
4,473 |
3,900 |
$0.00 |
| 3008F |
|
19,211 |
16,178 |
$0.00 |
| 1170F |
|
3,123 |
2,781 |
$0.00 |
| 3080F |
|
726 |
684 |
$0.00 |
| 3061F |
|
455 |
393 |
$0.00 |
| 1125F |
|
3,087 |
2,344 |
$0.00 |
| 91307 |
|
209 |
183 |
$0.00 |
| 1110F |
|
370 |
351 |
$0.00 |
| 3075F |
|
1,283 |
1,232 |
$0.00 |
| 1126F |
|
2,239 |
1,563 |
$0.00 |
| 3048F |
|
913 |
814 |
$0.00 |
| 3017F |
|
238 |
216 |
$0.00 |
| 1101F |
|
14 |
13 |
$0.00 |
| 99406 |
|
727 |
366 |
$0.00 |
| 1111F |
|
398 |
371 |
$0.00 |
| 3049F |
|
266 |
263 |
$0.00 |
| 1036F |
|
72 |
49 |
$0.00 |
| 3014F |
|
112 |
111 |
$0.00 |
| 4000F |
|
93 |
63 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$0.00 |
| 1160F |
|
6,375 |
5,173 |
$0.00 |
| 99408 |
|
2,401 |
1,944 |
$0.00 |
| 3078F |
|
10,256 |
8,430 |
$0.00 |
| 1159F |
|
6,372 |
5,173 |
$0.00 |
| 0521F |
|
2,694 |
2,053 |
$0.00 |
| 3077F |
|
1,798 |
1,606 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
538 |
521 |
$0.00 |
| 99397 |
|
92 |
88 |
$0.00 |
| 1158F |
|
2,103 |
1,819 |
$0.00 |
| 91300 |
|
805 |
723 |
$0.00 |
| 99173 |
|
190 |
100 |
$0.00 |
| 3050F |
|
127 |
125 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
31 |
$0.00 |
| 4035F |
|
18 |
17 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$0.00 |