| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,096 |
7,023 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,864 |
4,433 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,380 |
1,298 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
812 |
809 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
461 |
461 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$714.12 |
| 99408 |
|
751 |
744 |
$624.80 |
| 90688 |
|
89 |
88 |
$362.50 |
| 92551 |
|
147 |
147 |
$225.90 |
| 96127 |
|
1,228 |
1,178 |
$193.65 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$182.81 |
| 90656 |
|
16 |
16 |
$98.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
297 |
293 |
$95.00 |
| 90657 |
|
57 |
57 |
$90.00 |
| 90686 |
|
40 |
40 |
$62.80 |
| 96156 |
|
112 |
112 |
$29.70 |
| G9919 |
Screening performed and positive and provision of recommendations |
52 |
52 |
$29.00 |
| G9920 |
Screening performed and negative |
89 |
88 |
$29.00 |
| 81000 |
|
91 |
91 |
$25.80 |
| 85018 |
|
94 |
94 |
$25.79 |
| 90480 |
|
21 |
21 |
$25.00 |
| 92081 |
|
71 |
71 |
$23.35 |
| H0049 |
Alcohol and/or drug screening |
27 |
27 |
$0.01 |
| 3048F |
|
463 |
382 |
$0.00 |
| 3074F |
|
2,197 |
2,010 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
359 |
359 |
$0.00 |
| 3008F |
|
3,391 |
3,140 |
$0.00 |
| 3075F |
|
1,324 |
1,222 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,157 |
2,070 |
$0.00 |
| 3079F |
|
1,299 |
1,213 |
$0.00 |
| 3044F |
|
694 |
595 |
$0.00 |
| 3351F |
|
649 |
645 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
44 |
44 |
$0.00 |
| 3049F |
|
945 |
814 |
$0.00 |
| 3080F |
|
135 |
126 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18 |
18 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
61 |
61 |
$0.00 |
| 3352F |
|
18 |
18 |
$0.00 |
| 3077F |
|
567 |
526 |
$0.00 |
| 3078F |
|
2,569 |
2,312 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
546 |
546 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
93 |
90 |
$0.00 |
| 3046F |
|
87 |
69 |
$0.00 |
| 3050F |
|
795 |
688 |
$0.00 |
| 3051F |
|
107 |
91 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
162 |
158 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 91322 |
|
14 |
14 |
$0.00 |
| 4005F |
|
29 |
29 |
$0.00 |