| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,642 |
1,627 |
$184K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,640 |
3,203 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,367 |
23,324 |
$150K |
| 92552 |
|
4,050 |
3,995 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,187 |
1,173 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
975 |
945 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,908 |
14,580 |
$53K |
| 90651 |
|
911 |
896 |
$49K |
| 90837 |
Psychotherapy, 53 minutes with patient |
588 |
383 |
$48K |
| 90686 |
|
2,400 |
2,375 |
$47K |
| G9920 |
Screening performed and negative |
1,132 |
1,118 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
684 |
683 |
$41K |
| 99173 |
|
3,331 |
3,272 |
$20K |
| 96127 |
|
2,539 |
2,508 |
$18K |
| 90715 |
|
520 |
514 |
$14K |
| 85018 |
|
7,340 |
7,147 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
102 |
83 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
246 |
207 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,793 |
1,788 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
137 |
135 |
$10K |
| 81025 |
|
2,644 |
2,466 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
239 |
238 |
$7K |
| 90734 |
|
380 |
373 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
134 |
112 |
$7K |
| 81002 |
|
3,529 |
3,390 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
852 |
841 |
$6K |
| 90670 |
|
320 |
311 |
$6K |
| 90620 |
|
178 |
177 |
$5K |
| 90656 |
|
166 |
166 |
$4K |
| 90648 |
|
197 |
188 |
$3K |
| 59425 |
|
34 |
24 |
$3K |
| 90633 |
|
178 |
169 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
124 |
124 |
$3K |
| 0012A |
|
59 |
59 |
$2K |
| 99188 |
|
86 |
84 |
$2K |
| 0011A |
|
54 |
54 |
$2K |
| 90750 |
|
12 |
12 |
$2K |
| 82962 |
|
1,229 |
1,216 |
$2K |
| 90698 |
|
73 |
73 |
$1K |
| 90707 |
|
57 |
51 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
73 |
71 |
$1K |
| 90680 |
|
60 |
60 |
$1K |
| 99215 |
Prolong outpt/office vis |
31 |
28 |
$994.73 |
| 99490 |
Ccm add 20min |
66 |
66 |
$903.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
250 |
221 |
$851.84 |
| 0071A |
|
18 |
18 |
$720.00 |
| 90723 |
|
40 |
38 |
$693.00 |
| 0002A |
|
14 |
14 |
$560.00 |
| 90716 |
|
25 |
25 |
$548.73 |
| 83655 |
|
60 |
60 |
$503.54 |
| 0001A |
|
12 |
12 |
$480.00 |
| 0004A |
|
12 |
12 |
$480.00 |
| 90671 |
|
26 |
26 |
$450.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$444.62 |
| 90744 |
|
26 |
26 |
$405.00 |
| 1036F |
|
1,736 |
1,660 |
$0.00 |
| 3074F |
|
1,376 |
1,337 |
$0.00 |
| 3075F |
|
92 |
89 |
$0.00 |
| 3044F |
|
301 |
301 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
80 |
78 |
$0.00 |
| 3079F |
|
147 |
144 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 99499 |
|
357 |
357 |
$0.00 |
| 3078F |
|
1,294 |
1,258 |
$0.00 |