| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,212 |
5,021 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,479 |
11,232 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,291 |
6,219 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,202 |
4,169 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,302 |
3,090 |
$62K |
| 99381 |
|
1,187 |
977 |
$60K |
| G9920 |
Screening performed and negative |
3,724 |
3,668 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,349 |
2,216 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,537 |
2,527 |
$37K |
| 96156 |
|
1,103 |
1,101 |
$19K |
| 92552 |
|
6,320 |
6,257 |
$15K |
| 90670 |
|
4,892 |
4,821 |
$14K |
| 90680 |
|
3,433 |
3,355 |
$13K |
| 90698 |
|
3,214 |
3,141 |
$12K |
| 96112 |
|
7,637 |
7,527 |
$10K |
| 97803 |
|
2,303 |
2,236 |
$10K |
| 90744 |
|
2,331 |
2,285 |
$9K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
9,854 |
9,525 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,001 |
983 |
$8K |
| 99188 |
|
1,803 |
1,759 |
$7K |
| 97802 |
|
8,863 |
8,558 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
226 |
219 |
$5K |
| 90633 |
|
2,810 |
2,779 |
$3K |
| 90688 |
|
3,267 |
3,207 |
$3K |
| 90700 |
|
2,571 |
2,537 |
$3K |
| 90697 |
|
809 |
783 |
$2K |
| 99401 |
|
8,809 |
8,501 |
$2K |
| 90651 |
|
1,196 |
1,191 |
$2K |
| 90710 |
|
1,866 |
1,838 |
$2K |
| 85018 |
|
3,664 |
3,548 |
$2K |
| 92551 |
|
2,821 |
2,820 |
$2K |
| 96111 |
|
1,021 |
818 |
$2K |
| 99383 |
|
50 |
50 |
$2K |
| 83655 |
|
345 |
335 |
$1K |
| 85014 |
|
4,577 |
4,476 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
457 |
457 |
$1K |
| 90713 |
|
1,071 |
1,057 |
$1K |
| 90686 |
|
2,163 |
2,148 |
$956.27 |
| D0120 |
Periodic oral evaluation - established patient |
7,434 |
7,349 |
$933.48 |
| 99406 |
|
497 |
497 |
$831.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
39 |
$828.42 |
| 90677 |
|
245 |
242 |
$726.50 |
| 86580 |
|
701 |
691 |
$653.88 |
| 99384 |
|
15 |
15 |
$618.31 |
| 90647 |
|
727 |
716 |
$612.00 |
| 90734 |
|
958 |
957 |
$497.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
116 |
116 |
$455.65 |
| 99173 |
|
3,582 |
3,574 |
$442.51 |
| 90649 |
|
385 |
383 |
$382.50 |
| 90658 |
|
240 |
236 |
$382.23 |
| 90657 |
|
145 |
135 |
$380.96 |
| 90716 |
|
337 |
336 |
$352.91 |
| 81000 |
|
3,987 |
3,973 |
$344.44 |
| 90671 |
|
59 |
59 |
$315.00 |
| 96127 |
|
374 |
363 |
$312.58 |
| 90707 |
|
315 |
313 |
$306.00 |
| 90715 |
|
422 |
420 |
$297.90 |
| 90648 |
|
308 |
306 |
$288.00 |
| 90685 |
|
329 |
316 |
$282.00 |
| 90620 |
|
332 |
331 |
$188.55 |
| 87081 |
|
238 |
230 |
$139.72 |
| 1032F |
|
2,155 |
2,116 |
$96.00 |
| 94760 |
|
231 |
222 |
$38.95 |
| 90656 |
|
31 |
31 |
$36.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
319 |
319 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 96161 |
|
289 |
246 |
$0.00 |
| D1330 |
|
163 |
163 |
$0.00 |