| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,073 |
15,366 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,084 |
1,973 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,299 |
1,296 |
$10K |
| 97803 |
|
16,656 |
14,969 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17,143 |
15,385 |
$8K |
| 3008F |
|
17,627 |
15,824 |
$5K |
| 3078F |
|
14,628 |
13,219 |
$4K |
| 3074F |
|
14,353 |
12,990 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
201 |
193 |
$4K |
| 1159F |
|
17,448 |
15,667 |
$3K |
| 1160F |
|
17,487 |
15,706 |
$2K |
| 92551 |
|
979 |
894 |
$2K |
| 99383 |
|
43 |
37 |
$2K |
| 82962 |
|
2,460 |
2,189 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
56 |
$1K |
| 1126F |
|
9,346 |
8,490 |
$1K |
| 86580 |
|
289 |
247 |
$959.46 |
| 97802 |
|
1,509 |
1,457 |
$886.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
106 |
$799.92 |
| 1157F |
|
8,267 |
7,476 |
$760.87 |
| 85014 |
|
947 |
859 |
$722.78 |
| 81002 |
|
1,377 |
1,283 |
$683.27 |
| 99384 |
|
17 |
12 |
$562.14 |
| 90686 |
|
109 |
109 |
$493.92 |
| 3077F |
|
948 |
896 |
$422.87 |
| 1158F |
|
1,337 |
1,245 |
$417.50 |
| 1125F |
|
2,151 |
2,100 |
$412.50 |
| 90715 |
|
29 |
29 |
$402.00 |
| 90658 |
|
59 |
52 |
$294.47 |
| 99000 |
|
84 |
84 |
$274.22 |
| 90621 |
|
177 |
168 |
$252.00 |
| 90651 |
|
92 |
92 |
$234.00 |
| 90680 |
|
17 |
17 |
$220.00 |
| 92081 |
|
806 |
738 |
$179.34 |
| 3079F |
|
457 |
449 |
$158.50 |
| 83026 |
|
48 |
48 |
$123.35 |
| 90733 |
|
66 |
57 |
$108.00 |
| 90716 |
|
12 |
12 |
$108.00 |
| 90633 |
|
16 |
16 |
$108.00 |
| 99173 |
|
27 |
27 |
$70.52 |
| 3075F |
|
184 |
177 |
$45.00 |
| 3080F |
|
231 |
224 |
$5.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
17 |
$0.00 |