| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
842 |
797 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,687 |
10,525 |
$92K |
| G9920 |
Screening performed and negative |
1,585 |
1,575 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
804 |
802 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
714 |
713 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
293 |
$8K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 92551 |
|
383 |
382 |
$2K |
| 90649 |
|
604 |
601 |
$2K |
| 90734 |
|
357 |
357 |
$1K |
| 85018 |
|
404 |
403 |
$514.45 |
| 81000 |
|
203 |
203 |
$484.59 |
| 90715 |
|
157 |
157 |
$403.65 |
| 90696 |
|
28 |
27 |
$212.40 |
| 90710 |
|
28 |
28 |
$144.00 |
| 90686 |
|
54 |
54 |
$99.00 |
| 90633 |
|
12 |
12 |
$81.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
921 |
912 |
$80.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,230 |
1,219 |
$72.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
740 |
739 |
$66.00 |
| 90620 |
|
15 |
15 |
$63.00 |
| 90655 |
|
16 |
15 |
$62.55 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
51 |
51 |
$56.08 |
| 90674 |
|
12 |
12 |
$54.00 |
| 90619 |
|
15 |
15 |
$54.00 |
| 97802 |
|
831 |
831 |
$30.00 |
| 92015 |
Determination of refractive state |
339 |
338 |
$21.57 |
| S9452 |
Nutrition classes, non-physician provider, per session |
58 |
58 |
$0.00 |
| 17000 |
|
12 |
12 |
$0.00 |
| 81003 |
|
133 |
132 |
$0.00 |
| 69200 |
|
14 |
14 |
$0.00 |