| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,045 |
8,295 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,583 |
2,541 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,978 |
1,956 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,072 |
2,039 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,650 |
2,280 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
606 |
585 |
$26K |
| 92551 |
|
4,525 |
4,481 |
$23K |
| 92552 |
|
1,952 |
1,952 |
$20K |
| 99307 |
|
2,078 |
2,063 |
$18K |
| 99381 |
|
159 |
143 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,885 |
2,824 |
$14K |
| 90651 |
|
559 |
540 |
$13K |
| 90686 |
|
3,264 |
3,227 |
$12K |
| 85018 |
|
7,780 |
7,591 |
$11K |
| 92081 |
|
2,132 |
2,086 |
$7K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,201 |
2,132 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
334 |
319 |
$7K |
| 0001A |
|
160 |
159 |
$6K |
| 0071A |
|
146 |
146 |
$6K |
| 0002A |
|
145 |
145 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
724 |
724 |
$5K |
| 99173 |
|
3,046 |
3,045 |
$5K |
| 90647 |
|
1,160 |
1,136 |
$5K |
| 90670 |
|
1,090 |
1,070 |
$5K |
| 90700 |
|
1,088 |
1,075 |
$4K |
| 0072A |
|
103 |
103 |
$4K |
| 0003A |
|
95 |
94 |
$4K |
| 90680 |
|
616 |
600 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
38 |
$3K |
| 90713 |
|
680 |
669 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
601 |
601 |
$3K |
| 81000 |
|
1,504 |
1,503 |
$2K |
| 99383 |
|
30 |
25 |
$2K |
| 90744 |
|
239 |
236 |
$2K |
| 96156 |
|
199 |
198 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,752 |
4,232 |
$1K |
| 90633 |
|
468 |
459 |
$1K |
| 90716 |
|
490 |
481 |
$987.00 |
| 90707 |
|
447 |
443 |
$828.00 |
| 96150 |
|
120 |
113 |
$825.69 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$819.44 |
| 0124A |
|
16 |
16 |
$640.00 |
| 90480 |
|
20 |
15 |
$560.00 |
| 90734 |
|
343 |
327 |
$559.00 |
| 0073A |
|
13 |
13 |
$520.00 |
| 90671 |
|
111 |
111 |
$507.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
735 |
735 |
$465.69 |
| 99385 |
|
27 |
27 |
$465.39 |
| G9920 |
Screening performed and negative |
139 |
139 |
$464.00 |
| 90619 |
|
104 |
104 |
$309.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
694 |
658 |
$278.00 |
| 97803 |
|
204 |
203 |
$261.87 |
| 90715 |
|
111 |
111 |
$252.00 |
| 90658 |
|
24 |
24 |
$216.00 |
| 81002 |
|
255 |
254 |
$213.83 |
| 90461 |
|
388 |
282 |
$185.84 |
| 90657 |
|
44 |
44 |
$144.00 |
| 96127 |
|
63 |
63 |
$115.34 |
| 90723 |
|
31 |
28 |
$90.00 |
| 90677 |
|
29 |
29 |
$81.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
102 |
100 |
$75.00 |
| 90620 |
|
26 |
26 |
$74.00 |
| 90696 |
|
29 |
29 |
$72.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$68.60 |
| 90621 |
|
54 |
53 |
$54.00 |
| 86580 |
|
22 |
20 |
$40.16 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
304 |
304 |
$17.22 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
3,200 |
3,123 |
$0.26 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,880 |
1,826 |
$0.19 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
29 |
$0.03 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
848 |
844 |
$0.01 |
| 1160F |
|
3,199 |
3,123 |
$0.00 |
| 3078F |
|
2,166 |
2,142 |
$0.00 |
| 1159F |
|
3,160 |
3,087 |
$0.00 |
| 3077F |
|
567 |
561 |
$0.00 |
| 1090F |
|
39 |
39 |
$0.00 |
| 1003F |
|
51 |
51 |
$0.00 |
| 1124F |
|
13 |
13 |
$0.00 |
| 3074F |
|
2,559 |
2,527 |
$0.00 |
| 3008F |
|
7,176 |
6,990 |
$0.00 |
| 3079F |
|
1,144 |
1,133 |
$0.00 |
| 97802 |
|
272 |
260 |
$0.00 |
| 3080F |
|
459 |
453 |
$0.00 |
| 3075F |
|
549 |
548 |
$0.00 |
| 1170F |
|
67 |
67 |
$0.00 |
| 1101F |
|
26 |
26 |
$0.00 |
| 1157F |
|
31 |
31 |
$0.00 |
| 99441 |
|
15 |
15 |
$0.00 |