| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,669 |
10,611 |
$611K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,270 |
6,176 |
$567K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,334 |
2,654 |
$276K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,180 |
2,656 |
$241K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,749 |
2,132 |
$211K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,542 |
1,218 |
$107K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,736 |
3,787 |
$84K |
| 96127 |
|
3,304 |
2,590 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,881 |
1,722 |
$47K |
| 90686 |
|
2,651 |
2,386 |
$25K |
| 96160 |
|
1,552 |
1,213 |
$21K |
| 90651 |
|
1,357 |
1,089 |
$20K |
| 83655 |
|
1,535 |
1,177 |
$18K |
| 90670 |
|
1,228 |
1,015 |
$16K |
| 90734 |
|
913 |
724 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,422 |
2,710 |
$11K |
| 90674 |
|
508 |
429 |
$8K |
| 85018 |
|
2,838 |
2,267 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
379 |
328 |
$6K |
| 90680 |
|
456 |
395 |
$6K |
| 90633 |
|
548 |
441 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
194 |
$5K |
| 90661 |
|
276 |
268 |
$5K |
| 90620 |
|
269 |
195 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
40 |
$4K |
| 90621 |
|
395 |
328 |
$3K |
| 90715 |
|
253 |
198 |
$3K |
| 36416 |
|
1,067 |
858 |
$3K |
| 0072A |
|
66 |
64 |
$3K |
| 90677 |
|
98 |
63 |
$2K |
| 0001A |
|
73 |
57 |
$2K |
| 0071A |
|
52 |
52 |
$2K |
| 90697 |
|
117 |
91 |
$2K |
| 0002A |
|
29 |
29 |
$1K |
| 90685 |
|
152 |
141 |
$1K |
| 90619 |
|
53 |
42 |
$885.63 |
| 86580 |
|
193 |
158 |
$789.88 |
| 90696 |
|
58 |
38 |
$729.08 |
| 90707 |
|
43 |
38 |
$589.55 |
| 99173 |
|
75 |
56 |
$536.40 |
| 90723 |
|
43 |
39 |
$474.00 |
| 92015 |
Determination of refractive state |
25 |
25 |
$459.78 |
| 90716 |
|
31 |
26 |
$441.19 |
| 90710 |
|
19 |
14 |
$317.49 |
| 90647 |
|
42 |
36 |
$315.49 |
| 90698 |
|
24 |
24 |
$246.18 |
| 90744 |
|
27 |
24 |
$201.50 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
245 |
227 |
$80.26 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
705 |
503 |
$6.18 |
| 91300 |
|
118 |
105 |
$0.82 |
| 91307 |
|
97 |
92 |
$0.35 |
| 1036F |
|
1,096 |
856 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
425 |
376 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
809 |
704 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
239 |
211 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
46 |
25 |
$0.00 |
| 3085F |
|
361 |
271 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
32 |
31 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
26 |
17 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
14 |
$0.00 |