| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,971 |
1,967 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,200 |
18,107 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,656 |
1,654 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,091 |
1,090 |
$20K |
| 92552 |
|
4,265 |
4,259 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
720 |
716 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
845 |
841 |
$12K |
| 99462 |
|
242 |
108 |
$4K |
| 90686 |
|
900 |
899 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,166 |
1,146 |
$4K |
| 90670 |
|
1,000 |
990 |
$3K |
| 99460 |
|
67 |
67 |
$3K |
| 99173 |
|
4,385 |
4,378 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
788 |
788 |
$2K |
| 90633 |
|
680 |
677 |
$2K |
| 83026 |
|
1,679 |
1,675 |
$1K |
| 99385 |
|
352 |
352 |
$992.14 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
508 |
505 |
$989.72 |
| 90700 |
|
422 |
420 |
$869.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,474 |
1,451 |
$812.56 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,181 |
1,178 |
$800.00 |
| 90651 |
|
158 |
158 |
$727.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,031 |
1,030 |
$700.00 |
| 90734 |
|
212 |
212 |
$601.57 |
| 90648 |
|
318 |
312 |
$600.00 |
| 90677 |
|
69 |
68 |
$574.00 |
| 99384 |
|
45 |
45 |
$561.72 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$530.43 |
| 90680 |
|
302 |
296 |
$516.00 |
| 99383 |
|
59 |
59 |
$463.02 |
| 90707 |
|
82 |
82 |
$342.17 |
| 90716 |
|
132 |
132 |
$340.00 |
| 99386 |
|
80 |
80 |
$337.40 |
| 90647 |
|
185 |
183 |
$307.00 |
| 90715 |
|
95 |
95 |
$205.78 |
| 3008F |
|
3,988 |
3,986 |
$183.73 |
| 90672 |
|
63 |
63 |
$147.00 |
| 90698 |
|
69 |
68 |
$117.00 |
| 90710 |
|
39 |
39 |
$110.00 |
| 90658 |
|
29 |
29 |
$104.55 |
| 90649 |
|
24 |
24 |
$88.20 |
| 97802 |
|
136 |
134 |
$60.70 |
| 90744 |
|
12 |
12 |
$45.00 |
| 1159F |
|
4,019 |
4,017 |
$34.39 |
| 90713 |
|
27 |
26 |
$32.00 |
| 96127 |
|
442 |
442 |
$28.86 |
| 1160F |
|
4,021 |
4,019 |
$10.90 |
| 3725F |
|
4,020 |
4,018 |
$10.90 |
| H0049 |
Alcohol and/or drug screening |
3,805 |
3,803 |
$7.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
37 |
$3.82 |
| 3078F |
|
28 |
27 |
$1.60 |
| 3074F |
|
16 |
15 |
$0.60 |
| 82962 |
|
59 |
59 |
$0.00 |
| 90461 |
|
42 |
42 |
$0.00 |