| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,932 |
15,000 |
$390K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,607 |
3,939 |
$135K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
738 |
708 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
801 |
742 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
425 |
407 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
364 |
338 |
$14K |
| 99072 |
|
3,330 |
2,795 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
291 |
280 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,793 |
1,112 |
$7K |
| 99397 |
|
188 |
156 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
211 |
184 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
433 |
325 |
$4K |
| 90688 |
|
653 |
592 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
148 |
133 |
$4K |
| 99497 |
|
194 |
172 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,901 |
1,743 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
123 |
$2K |
| G2252 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion |
347 |
320 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
294 |
264 |
$1K |
| 99442 |
|
74 |
54 |
$1K |
| 86580 |
|
259 |
243 |
$587.65 |
| 90651 |
|
116 |
105 |
$580.28 |
| 90674 |
|
148 |
144 |
$397.77 |
| 90461 |
|
201 |
172 |
$315.43 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
31 |
30 |
$186.92 |
| 90756 |
|
19 |
13 |
$158.41 |
| G0008 |
Administration of influenza virus vaccine |
31 |
29 |
$124.31 |
| S9470 |
Nutritional counseling, dietitian visit |
3,100 |
2,751 |
$120.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$89.46 |
| S9999 |
Sales tax |
1,662 |
1,348 |
$44.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
73 |
66 |
$36.32 |
| 90698 |
|
207 |
187 |
$16.00 |
| 90670 |
|
234 |
214 |
$8.00 |
| 90744 |
|
30 |
29 |
$4.01 |
| 96127 |
|
734 |
680 |
$1.47 |
| 3078F |
|
1,477 |
1,210 |
$1.10 |
| 3074F |
|
929 |
779 |
$0.71 |
| 1159F |
|
755 |
555 |
$0.57 |
| 1160F |
|
650 |
483 |
$0.56 |
| 1170F |
|
796 |
579 |
$0.54 |
| 3075F |
|
570 |
475 |
$0.41 |
| 1126F |
|
655 |
478 |
$0.39 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,007 |
2,459 |
$0.34 |
| 3079F |
|
438 |
374 |
$0.26 |
| 1123F |
|
461 |
336 |
$0.06 |
| 3077F |
|
184 |
165 |
$0.04 |
| 3044F |
|
29 |
25 |
$0.02 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
71 |
65 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,305 |
4,420 |
$0.01 |
| G9459 |
Currently a tobacco non-user |
896 |
799 |
$0.01 |
| G9275 |
Documentation that patient is a current non-tobacco user |
364 |
325 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
42 |
41 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
19 |
19 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90633 |
|
39 |
36 |
$0.00 |
| 90734 |
|
33 |
32 |
$0.00 |
| 90715 |
|
29 |
28 |
$0.00 |
| 90710 |
|
58 |
55 |
$0.00 |