| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,767 |
13,656 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,144 |
1,130 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
589 |
585 |
$22K |
| 90651 |
|
838 |
831 |
$10K |
| 90670 |
|
1,595 |
1,582 |
$8K |
| 90686 |
|
1,190 |
1,188 |
$7K |
| 90698 |
|
1,153 |
1,142 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,411 |
2,399 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,913 |
1,904 |
$6K |
| G9920 |
Screening performed and negative |
576 |
575 |
$4K |
| 90633 |
|
1,020 |
1,013 |
$4K |
| 90744 |
|
758 |
752 |
$4K |
| 90716 |
|
809 |
805 |
$4K |
| 90707 |
|
799 |
794 |
$3K |
| 90734 |
|
617 |
615 |
$3K |
| 96156 |
|
513 |
512 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,224 |
1,220 |
$2K |
| 90680 |
|
437 |
434 |
$2K |
| 90696 |
|
410 |
407 |
$2K |
| 90620 |
|
308 |
307 |
$2K |
| 0071A |
|
43 |
43 |
$2K |
| 90700 |
|
341 |
339 |
$2K |
| 90681 |
|
188 |
187 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
346 |
$1K |
| 90648 |
|
231 |
230 |
$999.00 |
| 0002A |
|
24 |
24 |
$960.00 |
| 0001A |
|
21 |
21 |
$840.00 |
| 90715 |
|
226 |
225 |
$831.00 |
| 0072A |
|
19 |
19 |
$760.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
226 |
225 |
$658.90 |
| 97802 |
|
5,145 |
5,125 |
$582.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
272 |
270 |
$332.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
858 |
852 |
$245.91 |
| 99383 |
|
48 |
48 |
$233.41 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,233 |
1,213 |
$186.00 |
| 99384 |
|
28 |
28 |
$148.12 |
| 90710 |
|
17 |
17 |
$84.00 |
| 99382 |
|
19 |
19 |
$46.66 |
| 90461 |
|
745 |
727 |
$42.00 |
| 3725F |
|
369 |
368 |
$0.00 |
| 1159F |
|
308 |
305 |
$0.00 |
| 1160F |
|
308 |
305 |
$0.00 |
| 3008F |
|
5,078 |
5,058 |
$0.00 |
| 1036F |
|
530 |
530 |
$0.00 |
| 3351F |
|
1,091 |
1,088 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
60 |
60 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
141 |
139 |
$0.00 |
| 96150 |
|
192 |
191 |
$0.00 |
| 86580 |
|
13 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
30 |
$0.00 |