| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,413 |
5,910 |
$11K |
| 96156 |
|
2,289 |
2,282 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
814 |
814 |
$5K |
| 92552 |
|
2,038 |
2,035 |
$3K |
| 90686 |
|
704 |
704 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
962 |
920 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
523 |
523 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,054 |
1,962 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,919 |
1,818 |
$2K |
| 90651 |
|
135 |
134 |
$1K |
| 85018 |
|
2,577 |
2,565 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
80 |
$1K |
| 81000 |
|
1,827 |
1,823 |
$507.06 |
| 92551 |
|
39 |
39 |
$398.50 |
| 90734 |
|
84 |
84 |
$297.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
134 |
134 |
$269.50 |
| 99173 |
|
851 |
851 |
$224.45 |
| 92081 |
|
893 |
891 |
$208.70 |
| 90715 |
|
30 |
30 |
$135.00 |
| 81002 |
|
191 |
191 |
$105.78 |
| 87110 |
|
16 |
15 |
$86.25 |
| 90461 |
|
234 |
194 |
$64.64 |
| 99000 |
|
64 |
64 |
$42.80 |
| G9920 |
Screening performed and negative |
1,700 |
1,698 |
$31.06 |
| 82947 |
|
26 |
26 |
$24.18 |
| 82465 |
|
16 |
16 |
$10.94 |
| 4037F |
|
647 |
644 |
$9.30 |
| 36415 |
Collection of venous blood by venipuncture |
155 |
155 |
$4.38 |
| 3008F |
|
2,448 |
2,306 |
$1.80 |
| 4245F |
|
2,438 |
2,299 |
$1.80 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,408 |
1,403 |
$1.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
44 |
43 |
$0.01 |
| 1220F |
|
921 |
921 |
$0.00 |
| 96161 |
|
468 |
467 |
$0.00 |
| 3044F |
|
279 |
278 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
116 |
116 |
$0.00 |
| 99441 |
|
43 |
41 |
$0.00 |
| 3048F |
|
68 |
67 |
$0.00 |
| 1038F |
|
13 |
13 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |
| 4140F |
|
13 |
13 |
$0.00 |
| 4035F |
|
541 |
534 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
161 |
161 |
$0.00 |
| 96160 |
|
1,126 |
1,124 |
$0.00 |
| 4025F |
|
13 |
13 |
$0.00 |