| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,172 |
9,616 |
$62K |
| 59425 |
|
1,081 |
851 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,498 |
3,361 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,160 |
4,107 |
$18K |
| Z1034 |
|
306 |
258 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
418 |
405 |
$16K |
| G9920 |
Screening performed and negative |
3,102 |
3,084 |
$11K |
| 99215 |
Prolong outpt/office vis |
1,242 |
1,216 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
841 |
829 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
738 |
732 |
$6K |
| 92551 |
|
3,561 |
3,540 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
623 |
614 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
70 |
$4K |
| 99384 |
|
54 |
47 |
$4K |
| 90686 |
|
617 |
617 |
$3K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
35 |
24 |
$2K |
| 90697 |
|
42 |
42 |
$2K |
| 99383 |
|
46 |
41 |
$2K |
| 90651 |
|
90 |
90 |
$2K |
| 85018 |
|
5,199 |
5,109 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,550 |
2,512 |
$1K |
| 90670 |
|
367 |
363 |
$1K |
| 81003 |
|
3,638 |
3,513 |
$1K |
| 81025 |
|
473 |
462 |
$1K |
| 90648 |
|
340 |
334 |
$1K |
| 99000 |
|
426 |
412 |
$1K |
| 0500F |
|
14 |
14 |
$990.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
151 |
147 |
$833.11 |
| 90723 |
|
169 |
167 |
$656.49 |
| 90674 |
|
42 |
34 |
$630.07 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
520 |
519 |
$504.79 |
| 90656 |
|
84 |
84 |
$448.46 |
| 93000 |
|
377 |
376 |
$427.79 |
| 90633 |
|
159 |
159 |
$395.91 |
| 90658 |
|
20 |
20 |
$258.94 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,178 |
4,016 |
$216.96 |
| 90680 |
|
39 |
38 |
$197.91 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
329 |
322 |
$159.88 |
| 90716 |
|
13 |
13 |
$108.00 |
| 90710 |
|
62 |
62 |
$90.00 |
| 90671 |
|
29 |
29 |
$63.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
73 |
$53.99 |
| 90734 |
|
37 |
37 |
$45.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,395 |
1,361 |
$38.08 |
| 90714 |
|
21 |
21 |
$36.00 |
| 90619 |
|
40 |
40 |
$27.00 |
| 36415 |
Collection of venous blood by venipuncture |
988 |
970 |
$10.34 |
| H0049 |
Alcohol and/or drug screening |
1,849 |
1,836 |
$0.00 |
| 3044F |
|
843 |
830 |
$0.00 |
| 3074F |
|
2,714 |
2,614 |
$0.00 |
| 3079F |
|
903 |
874 |
$0.00 |
| 3075F |
|
791 |
769 |
$0.00 |
| 3080F |
|
175 |
171 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 99385 |
|
52 |
52 |
$0.00 |
| 3078F |
|
2,975 |
2,859 |
$0.00 |
| 99173 |
|
2,936 |
2,917 |
$0.00 |
| 3077F |
|
575 |
553 |
$0.00 |
| 99401 |
|
3,082 |
3,037 |
$0.00 |
| 3725F |
|
1,250 |
1,245 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
677 |
677 |
$0.00 |
| 0502F |
|
692 |
526 |
$0.00 |
| 3046F |
|
15 |
15 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
126 |
124 |
$0.00 |
| 99499 |
|
174 |
174 |
$0.00 |