| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,872 |
6,291 |
$8K |
| 97802 |
|
6,235 |
6,110 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,682 |
5,302 |
$5K |
| 99385 |
|
640 |
640 |
$3K |
| 96156 |
|
1,372 |
1,369 |
$2K |
| 90651 |
|
92 |
92 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
980 |
976 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
509 |
498 |
$631.40 |
| 99383 |
|
14 |
14 |
$393.84 |
| 99442 |
|
8,362 |
7,493 |
$384.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
354 |
352 |
$346.23 |
| 92552 |
|
790 |
781 |
$330.57 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,227 |
1,213 |
$194.75 |
| 99386 |
|
252 |
252 |
$185.25 |
| 99443 |
|
1,542 |
1,453 |
$180.97 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
681 |
674 |
$143.47 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$116.02 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
58 |
56 |
$105.00 |
| 96127 |
|
857 |
856 |
$68.98 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$68.21 |
| 90658 |
|
228 |
227 |
$62.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
628 |
627 |
$30.00 |
| 99401 |
|
1,305 |
1,285 |
$21.00 |
| 1159F |
|
5,301 |
4,947 |
$13.50 |
| 92551 |
|
227 |
227 |
$11.02 |
| 96160 |
|
2,113 |
2,098 |
$10.74 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,583 |
1,561 |
$10.50 |
| 3077F |
|
791 |
760 |
$0.00 |
| 1158F |
|
320 |
319 |
$0.00 |
| 3078F |
|
2,591 |
2,520 |
$0.00 |
| 99173 |
|
1,579 |
1,570 |
$0.00 |
| 1160F |
|
4,056 |
3,732 |
$0.00 |
| 90715 |
|
52 |
52 |
$0.00 |
| 90734 |
|
63 |
63 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$0.00 |
| 98966 |
|
26 |
26 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 99408 |
|
23 |
23 |
$0.00 |
| 3008F |
|
3,433 |
3,288 |
$0.00 |
| 3074F |
|
2,650 |
2,578 |
$0.00 |
| 3075F |
|
405 |
401 |
$0.00 |
| 3079F |
|
902 |
892 |
$0.00 |
| 1126F |
|
294 |
294 |
$0.00 |
| 81000 |
|
291 |
283 |
$0.00 |
| 3080F |
|
306 |
295 |
$0.00 |
| 1125F |
|
433 |
421 |
$0.00 |
| 1170F |
|
145 |
144 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
926 |
911 |
$0.00 |
| 99384 |
|
40 |
40 |
$0.00 |
| 1157F |
|
45 |
45 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |