| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,902 |
4,475 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,233 |
1,221 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,314 |
3,167 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,371 |
1,354 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
933 |
913 |
$35K |
| 92552 |
|
2,304 |
2,288 |
$17K |
| 83655 |
|
1,171 |
1,086 |
$10K |
| 90700 |
|
883 |
868 |
$8K |
| 92551 |
|
1,111 |
1,107 |
$8K |
| G9920 |
Screening performed and negative |
488 |
488 |
$7K |
| 99215 |
Prolong outpt/office vis |
485 |
482 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
249 |
$7K |
| 85018 |
|
4,984 |
4,724 |
$6K |
| 99381 |
|
52 |
41 |
$5K |
| 90713 |
|
723 |
714 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
534 |
504 |
$5K |
| 90648 |
|
553 |
541 |
$4K |
| 97802 |
|
723 |
717 |
$4K |
| 90670 |
|
451 |
445 |
$3K |
| 81000 |
|
2,821 |
2,794 |
$3K |
| 90658 |
|
449 |
445 |
$3K |
| 90744 |
|
312 |
310 |
$2K |
| 97803 |
|
1,850 |
1,841 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
359 |
359 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
206 |
122 |
$1K |
| 87110 |
|
379 |
379 |
$1K |
| 90688 |
|
174 |
174 |
$988.00 |
| 92081 |
|
2,022 |
1,994 |
$983.97 |
| 99000 |
|
219 |
219 |
$786.21 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
67 |
$667.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
309 |
309 |
$610.17 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,612 |
2,594 |
$583.17 |
| 90680 |
|
42 |
42 |
$342.00 |
| 90716 |
|
46 |
46 |
$243.00 |
| 90633 |
|
39 |
38 |
$213.75 |
| 90707 |
|
40 |
40 |
$153.00 |
| 87070 |
|
214 |
202 |
$134.22 |
| 90657 |
|
39 |
38 |
$117.00 |
| 81002 |
|
131 |
130 |
$104.58 |
| G2012 |
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; 5-10 minutes of medical discussion |
103 |
100 |
$86.52 |
| 96156 |
|
12 |
12 |
$85.40 |
| 90671 |
|
17 |
17 |
$72.00 |
| 90734 |
|
12 |
12 |
$72.00 |
| 86580 |
|
12 |
12 |
$71.88 |
| 81003 |
|
25 |
25 |
$49.02 |
| 99173 |
|
12 |
12 |
$40.76 |
| 96160 |
|
1,651 |
1,650 |
$36.83 |
| 90655 |
|
13 |
13 |
$26.10 |
| 85032 |
|
16 |
16 |
$6.64 |
| 99401 |
|
39 |
39 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$0.00 |
| 99172 |
|
17 |
17 |
$0.00 |