| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,532 |
1,311 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
399 |
387 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
445 |
435 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
381 |
374 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
360 |
346 |
$27K |
| 87631 |
|
328 |
304 |
$24K |
| 87428 |
|
626 |
599 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
716 |
702 |
$9K |
| 99443 |
|
163 |
140 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
494 |
479 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
397 |
389 |
$4K |
| 99000 |
|
436 |
402 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
139 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
369 |
349 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
15 |
15 |
$1K |
| 87807 |
|
84 |
81 |
$838.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
109 |
104 |
$716.49 |
| 97803 |
|
1,147 |
1,118 |
$707.70 |
| 96160 |
|
554 |
540 |
$632.15 |
| 81003 |
|
188 |
176 |
$276.07 |
| 81025 |
|
25 |
24 |
$146.79 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$144.49 |
| 90473 |
|
103 |
103 |
$108.64 |
| 99490 |
Ccm add 20min |
119 |
119 |
$96.20 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
255 |
244 |
$88.60 |
| 90656 |
|
12 |
12 |
$17.48 |
| 90677 |
|
132 |
129 |
$0.89 |
| 90697 |
|
42 |
42 |
$0.07 |
| 90619 |
|
42 |
42 |
$0.04 |
| 90632 |
|
14 |
14 |
$0.03 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
63 |
63 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90670 |
|
38 |
38 |
$0.00 |
| 81002 |
|
15 |
12 |
$0.00 |
| 0013A |
|
15 |
15 |
$0.00 |
| 90633 |
|
32 |
31 |
$0.00 |
| 90715 |
|
32 |
32 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
467 |
432 |
$0.00 |
| 96161 |
|
519 |
506 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,182 |
1,156 |
$0.00 |
| 90680 |
|
104 |
104 |
$0.00 |
| 36416 |
|
99 |
96 |
$0.00 |
| 90732 |
|
14 |
14 |
$0.00 |
| 0012A |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |