| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,053 |
15,787 |
$92K |
| 3008F |
|
20,968 |
19,057 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,096 |
4,813 |
$15K |
| 3078F |
|
12,174 |
10,987 |
$10K |
| 3074F |
|
11,488 |
10,416 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
796 |
793 |
$8K |
| 92552 |
|
5,426 |
5,403 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
683 |
681 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
324 |
324 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,914 |
4,892 |
$3K |
| 3044F |
|
2,870 |
2,830 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,198 |
1,180 |
$3K |
| 3079F |
|
2,640 |
2,508 |
$2K |
| 81000 |
|
5,906 |
5,836 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
352 |
349 |
$2K |
| 90658 |
|
712 |
710 |
$2K |
| 85018 |
|
4,717 |
4,705 |
$2K |
| 3075F |
|
1,441 |
1,403 |
$1K |
| 3061F |
|
1,985 |
1,955 |
$1K |
| 3077F |
|
2,212 |
2,037 |
$885.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
78 |
$557.08 |
| 3725F |
|
2,677 |
2,648 |
$492.50 |
| 1170F |
|
1,921 |
1,894 |
$444.73 |
| 90734 |
|
129 |
127 |
$432.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$372.70 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,003 |
3,000 |
$365.00 |
| 90670 |
|
78 |
78 |
$333.00 |
| 90649 |
|
52 |
52 |
$234.00 |
| 90647 |
|
56 |
56 |
$216.00 |
| 82948 |
|
682 |
646 |
$213.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
148 |
146 |
$140.58 |
| 3048F |
|
1,280 |
1,261 |
$136.55 |
| 3080F |
|
137 |
131 |
$79.00 |
| 1125F |
|
407 |
402 |
$70.00 |
| 82044 |
|
274 |
273 |
$46.56 |
| 90620 |
|
12 |
12 |
$27.00 |
| 1160F |
|
138 |
138 |
$27.00 |
| 3049F |
|
377 |
373 |
$22.00 |
| 90715 |
|
12 |
12 |
$18.00 |
| 1159F |
|
138 |
138 |
$18.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$15.00 |
| 96151 |
|
1,469 |
1,460 |
$0.00 |
| 96156 |
|
1,667 |
1,664 |
$0.00 |
| 85032 |
|
117 |
117 |
$0.00 |
| 1126F |
|
345 |
343 |
$0.00 |
| 97802 |
|
1,511 |
1,510 |
$0.00 |
| 92551 |
|
113 |
113 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
141 |
141 |
$0.00 |
| 99172 |
|
81 |
81 |
$0.00 |
| 1111F |
|
32 |
32 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
141 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
12 |
12 |
$0.00 |
| 1158F |
|
1,423 |
1,409 |
$0.00 |
| 99401 |
|
140 |
140 |
$0.00 |
| 97803 |
|
962 |
962 |
$0.00 |
| 0521F |
|
323 |
318 |
$0.00 |
| 1124F |
|
98 |
98 |
$0.00 |
| 3050F |
|
91 |
88 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |