| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,591 |
11,460 |
$725K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,218 |
2,145 |
$235K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,199 |
2,154 |
$230K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,805 |
1,777 |
$202K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,320 |
1,263 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
227 |
222 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,019 |
6,829 |
$19K |
| S9452 |
Nutrition classes, non-physician provider, per session |
5,903 |
5,702 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
85 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,774 |
3,373 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,441 |
2,354 |
$7K |
| 99443 |
|
128 |
120 |
$4K |
| 90677 |
|
105 |
104 |
$3K |
| 90670 |
|
1,053 |
1,013 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
124 |
65 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
87 |
$2K |
| 0072A |
|
70 |
61 |
$2K |
| 0071A |
|
92 |
74 |
$2K |
| 0002A |
|
50 |
50 |
$1K |
| 90633 |
|
413 |
402 |
$1K |
| 90686 |
|
3,039 |
2,997 |
$1K |
| 0001A |
|
63 |
63 |
$986.02 |
| 90697 |
|
51 |
50 |
$722.29 |
| 90461 |
|
31 |
30 |
$540.00 |
| 90474 |
|
80 |
79 |
$452.00 |
| 90473 |
|
408 |
401 |
$335.51 |
| 99188 |
|
95 |
89 |
$306.21 |
| 90680 |
|
667 |
648 |
$304.90 |
| 90651 |
|
583 |
574 |
$292.91 |
| 90734 |
|
655 |
637 |
$260.52 |
| 90619 |
|
314 |
309 |
$217.15 |
| 90698 |
|
203 |
198 |
$208.27 |
| 90672 |
|
195 |
194 |
$183.60 |
| 90656 |
|
55 |
55 |
$150.00 |
| 90660 |
|
12 |
12 |
$115.48 |
| 86580 |
|
102 |
97 |
$69.47 |
| 90688 |
|
16 |
16 |
$69.00 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
69 |
$30.00 |
| 90620 |
|
163 |
155 |
$11.50 |
| 90715 |
|
54 |
51 |
$10.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
6,113 |
5,741 |
$0.01 |
| 90685 |
|
91 |
84 |
$0.00 |
| 90648 |
|
38 |
37 |
$0.00 |
| 90687 |
|
16 |
16 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90621 |
|
25 |
25 |
$0.00 |
| 91300 |
|
148 |
135 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
314 |
312 |
$0.00 |
| 91307 |
|
148 |
112 |
$0.00 |
| 90744 |
|
58 |
58 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
25 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 91305 |
|
27 |
12 |
$0.00 |
| 90674 |
|
78 |
77 |
$0.00 |