| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,541 |
19,684 |
$2.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,642 |
6,348 |
$869K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,009 |
1,975 |
$232K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,128 |
2,078 |
$219K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,133 |
5,789 |
$129K |
| 92552 |
|
3,516 |
3,514 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
582 |
556 |
$53K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,850 |
2,832 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
182 |
180 |
$22K |
| 97802 |
|
4,669 |
4,649 |
$15K |
| S9451 |
Exercise classes, non-physician provider, per session |
3,819 |
3,805 |
$14K |
| 81002 |
|
3,599 |
3,591 |
$8K |
| 92551 |
|
734 |
729 |
$8K |
| 99173 |
|
3,858 |
3,850 |
$8K |
| 90686 |
|
3,098 |
3,079 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
4,106 |
4,099 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
209 |
201 |
$4K |
| 0072A |
|
68 |
68 |
$3K |
| 0071A |
|
34 |
34 |
$1K |
| 36410 |
|
341 |
340 |
$1K |
| 90651 |
|
113 |
112 |
$990.03 |
| 90621 |
|
32 |
32 |
$360.00 |
| 87070 |
|
112 |
110 |
$335.50 |
| 91307 |
|
99 |
92 |
$256.40 |
| 86580 |
|
18 |
18 |
$159.65 |
| 91311 |
|
15 |
15 |
$113.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$57.13 |
| 90734 |
|
37 |
37 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |