| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,532 |
2,214 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
183 |
172 |
$4K |
| 99188 |
|
675 |
659 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
581 |
470 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
488 |
483 |
$2K |
| 99381 |
|
31 |
31 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
250 |
$2K |
| G9920 |
Screening performed and negative |
1,110 |
1,075 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
542 |
517 |
$2K |
| 99383 |
|
14 |
14 |
$790.98 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$661.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
178 |
$569.88 |
| 92551 |
|
921 |
896 |
$463.37 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,340 |
2,050 |
$454.80 |
| G9919 |
Screening performed and positive and provision of recommendations |
259 |
256 |
$435.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
404 |
391 |
$361.93 |
| 90671 |
|
188 |
184 |
$324.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
285 |
279 |
$307.94 |
| 90697 |
|
110 |
109 |
$252.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
276 |
267 |
$227.45 |
| 90680 |
|
80 |
79 |
$216.00 |
| 92081 |
|
618 |
592 |
$195.72 |
| 90651 |
|
334 |
328 |
$125.73 |
| 90686 |
|
182 |
182 |
$116.55 |
| 83655 |
|
239 |
225 |
$73.65 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
31 |
31 |
$64.38 |
| 90700 |
|
73 |
73 |
$62.91 |
| 90710 |
|
87 |
84 |
$53.91 |
| 90619 |
|
151 |
149 |
$45.00 |
| 90633 |
|
88 |
85 |
$44.82 |
| 90620 |
|
149 |
145 |
$18.00 |
| 90715 |
|
31 |
31 |
$18.00 |
| 3008F |
|
1,837 |
1,610 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
368 |
361 |
$0.00 |
| 1036F |
|
567 |
550 |
$0.00 |
| 96161 |
|
755 |
720 |
$0.00 |
| 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 |
1,251 |
1,094 |
$0.00 |
| 90461 |
|
206 |
197 |
$0.00 |
| 99173 |
|
271 |
270 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
408 |
387 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
270 |
266 |
$0.00 |
| 97803 |
|
36 |
36 |
$0.00 |