| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,622 |
2,333 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,917 |
2,628 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,509 |
1,449 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,255 |
1,215 |
$114K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,956 |
3,743 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,237 |
1,177 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
766 |
732 |
$59K |
| 92552 |
|
1,324 |
1,281 |
$10K |
| 90651 |
|
353 |
334 |
$7K |
| 97802 |
|
463 |
455 |
$5K |
| 90710 |
|
300 |
281 |
$4K |
| 90620 |
|
82 |
79 |
$4K |
| 90670 |
|
1,124 |
1,051 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
145 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 90686 |
|
297 |
257 |
$1K |
| 90688 |
|
270 |
255 |
$704.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
90 |
83 |
$167.85 |
| 90680 |
|
604 |
573 |
$150.00 |
| 90723 |
|
105 |
96 |
$117.61 |
| 90734 |
|
127 |
126 |
$92.38 |
| 90672 |
|
110 |
110 |
$82.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$80.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$40.00 |
| 99174 |
|
1,320 |
1,083 |
$31.47 |
| S9451 |
Exercise classes, non-physician provider, per session |
341 |
333 |
$0.00 |
| 90698 |
|
312 |
305 |
$0.00 |
| 90697 |
|
57 |
38 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
252 |
178 |
$0.00 |
| 90744 |
|
98 |
97 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90633 |
|
403 |
378 |
$0.00 |
| 99177 |
|
153 |
152 |
$0.00 |
| 90700 |
|
21 |
15 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |