| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,277 |
1,277 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,066 |
12,272 |
$46K |
| 92551 |
|
6,261 |
6,245 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,115 |
1,113 |
$37K |
| 99215 |
Prolong outpt/office vis |
3,824 |
3,480 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
490 |
490 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,664 |
3,517 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
176 |
175 |
$11K |
| 90686 |
|
1,640 |
1,636 |
$10K |
| 85018 |
|
7,273 |
7,221 |
$8K |
| 99381 |
|
70 |
70 |
$6K |
| 90648 |
|
595 |
590 |
$4K |
| 90670 |
|
588 |
583 |
$4K |
| 90734 |
|
434 |
432 |
$3K |
| 99383 |
|
72 |
71 |
$3K |
| 90700 |
|
383 |
377 |
$3K |
| 90649 |
|
333 |
333 |
$3K |
| 99384 |
|
43 |
43 |
$3K |
| 81000 |
|
1,850 |
1,839 |
$2K |
| 90651 |
|
221 |
221 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
452 |
452 |
$2K |
| 90685 |
|
221 |
220 |
$2K |
| 99205 |
Prolong outpt/office vis |
341 |
340 |
$1K |
| 92081 |
|
1,522 |
1,513 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,887 |
3,747 |
$1K |
| 90633 |
|
166 |
164 |
$1K |
| 99401 |
|
67 |
67 |
$1K |
| 90715 |
|
133 |
132 |
$1K |
| 90713 |
|
136 |
135 |
$1K |
| 92552 |
|
484 |
481 |
$593.39 |
| 90716 |
|
60 |
60 |
$540.00 |
| 90620 |
|
66 |
55 |
$425.00 |
| 90707 |
|
57 |
57 |
$387.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
225 |
225 |
$363.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
238 |
234 |
$301.09 |
| 90680 |
|
47 |
47 |
$288.00 |
| 81002 |
|
4,210 |
4,194 |
$249.30 |
| 90698 |
|
24 |
24 |
$180.00 |
| 90658 |
|
21 |
21 |
$180.00 |
| 90688 |
|
59 |
59 |
$153.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,392 |
2,381 |
$91.80 |
| 90744 |
|
12 |
12 |
$63.00 |
| 99000 |
|
54 |
51 |
$38.81 |
| 82465 |
|
12 |
12 |
$33.41 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
71 |
69 |
$29.38 |
| 90723 |
|
12 |
12 |
$27.00 |
| 94760 |
|
1,815 |
1,585 |
$25.15 |
| 99173 |
|
4,485 |
4,479 |
$18.89 |
| 82962 |
|
86 |
86 |
$17.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
530 |
506 |
$4.42 |
| 3074F |
|
13,431 |
12,676 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,599 |
2,425 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
437 |
405 |
$0.00 |
| 3075F |
|
886 |
867 |
$0.00 |
| 3008F |
|
1,522 |
1,444 |
$0.00 |
| 3080F |
|
1,252 |
1,202 |
$0.00 |
| 3079F |
|
2,404 |
2,310 |
$0.00 |
| 99443 |
|
33 |
31 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,473 |
2,306 |
$0.00 |
| 3078F |
|
11,919 |
11,347 |
$0.00 |
| 90461 |
|
1,232 |
1,225 |
$0.00 |
| 3077F |
|
1,330 |
1,271 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
99 |
97 |
$0.00 |