| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
79 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,837 |
4,251 |
$3K |
| 92552 |
|
261 |
261 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
212 |
210 |
$2K |
| 83026 |
|
339 |
339 |
$801.90 |
| 99173 |
|
301 |
301 |
$689.96 |
| 81003 |
|
278 |
278 |
$629.52 |
| 96156 |
|
262 |
259 |
$400.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
34 |
$285.64 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$224.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
254 |
241 |
$214.77 |
| 92551 |
|
48 |
47 |
$169.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
12 |
$153.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
614 |
590 |
$48.83 |
| 99406 |
|
406 |
337 |
$48.73 |
| 81000 |
|
100 |
99 |
$40.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$35.03 |
| 97802 |
|
54 |
52 |
$30.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
81 |
79 |
$22.26 |
| 93000 |
|
14 |
14 |
$21.53 |
| 96127 |
|
102 |
101 |
$9.08 |
| 99000 |
|
26 |
25 |
$3.63 |
| 85018 |
|
14 |
13 |
$1.51 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
59 |
54 |
$0.00 |
| 3008F |
|
895 |
838 |
$0.00 |
| 90656 |
|
41 |
41 |
$0.00 |
| 1125F |
|
38 |
38 |
$0.00 |
| 3014F |
|
32 |
32 |
$0.00 |
| 3074F |
|
257 |
240 |
$0.00 |
| 3079F |
|
110 |
105 |
$0.00 |
| 4050F |
|
87 |
82 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 3044F |
|
51 |
50 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
29 |
$0.00 |
| 3075F |
|
51 |
49 |
$0.00 |
| 3017F |
|
66 |
66 |
$0.00 |
| 99441 |
|
27 |
27 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$0.00 |
| 1160F |
|
305 |
293 |
$0.00 |
| 3078F |
|
298 |
282 |
$0.00 |
| 3015F |
|
56 |
56 |
$0.00 |
| 1159F |
|
306 |
294 |
$0.00 |
| 97803 |
|
13 |
13 |
$0.00 |
| 0521F |
|
74 |
74 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
23 |
21 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
14 |
$0.00 |
| 99442 |
|
82 |
78 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
56 |
$0.00 |
| 3077F |
|
60 |
58 |
$0.00 |
| 96160 |
|
69 |
68 |
$0.00 |
| 82948 |
|
15 |
15 |
$0.00 |