| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,712 |
8,642 |
$646K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,193 |
3,327 |
$335K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,149 |
3,031 |
$334K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,153 |
7,058 |
$314K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,548 |
2,829 |
$285K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,849 |
6,076 |
$249K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,566 |
2,151 |
$212K |
| 87428 |
|
3,809 |
2,951 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,901 |
1,609 |
$170K |
| 80061 |
Lipid panel |
5,935 |
4,415 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,312 |
2,734 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,456 |
1,829 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,804 |
788 |
$26K |
| 85018 |
|
10,188 |
7,684 |
$22K |
| 97802 |
|
11,183 |
8,222 |
$19K |
| 99383 |
|
216 |
168 |
$19K |
| 99384 |
|
95 |
65 |
$8K |
| 87807 |
|
663 |
513 |
$8K |
| 96127 |
|
2,192 |
1,522 |
$7K |
| 99401 |
|
1,247 |
881 |
$5K |
| 96160 |
|
2,018 |
1,428 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
593 |
474 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
48 |
$5K |
| 0001A |
|
199 |
119 |
$4K |
| 91300 |
|
558 |
331 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
11,340 |
8,149 |
$2K |
| 0002A |
|
108 |
57 |
$2K |
| 0071A |
|
75 |
53 |
$2K |
| 0072A |
|
38 |
34 |
$1K |
| 99188 |
|
94 |
76 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,267 |
917 |
$1K |
| 99381 |
|
15 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
13 |
$1K |
| 90620 |
|
1,376 |
901 |
$1K |
| 96161 |
|
336 |
239 |
$952.57 |
| 0004A |
|
34 |
18 |
$644.10 |
| 90677 |
|
229 |
150 |
$460.24 |
| 90651 |
|
1,543 |
1,091 |
$276.93 |
| 90686 |
|
2,129 |
1,487 |
$127.10 |
| 90670 |
|
1,902 |
1,445 |
$109.65 |
| 81000 |
|
25 |
25 |
$105.95 |
| 91307 |
|
168 |
100 |
$80.00 |
| 90473 |
|
24 |
14 |
$44.30 |
| 90619 |
|
573 |
302 |
$43.86 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
277 |
238 |
$42.00 |
| 90715 |
|
408 |
279 |
$21.93 |
| 36416 |
|
316 |
247 |
$2.80 |
| 5250F |
|
471 |
259 |
$0.00 |
| 90734 |
|
919 |
717 |
$0.00 |
| 90710 |
|
737 |
521 |
$0.00 |
| 90633 |
|
1,064 |
701 |
$0.00 |
| 90648 |
|
291 |
231 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
265 |
238 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
93 |
86 |
$0.00 |
| 90685 |
|
15 |
14 |
$0.00 |
| 90687 |
|
15 |
13 |
$0.00 |
| 99072 |
|
47 |
37 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
22 |
17 |
$0.00 |
| 90681 |
|
16 |
14 |
$0.00 |
| 90698 |
|
784 |
599 |
$0.00 |
| 90744 |
|
535 |
390 |
$0.00 |
| 90680 |
|
786 |
612 |
$0.00 |
| 90696 |
|
55 |
49 |
$0.00 |
| 90688 |
|
90 |
86 |
$0.00 |
| 90723 |
|
56 |
40 |
$0.00 |