| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,437 |
1,263 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,256 |
1,042 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
678 |
613 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
684 |
589 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
485 |
397 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
425 |
337 |
$35K |
| S9470 |
Nutritional counseling, dietitian visit |
928 |
817 |
$22K |
| S9451 |
Exercise classes, non-physician provider, per session |
926 |
815 |
$21K |
| 92552 |
|
694 |
616 |
$16K |
| 99215 |
Prolong outpt/office vis |
103 |
101 |
$13K |
| 99188 |
|
617 |
502 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
136 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
888 |
697 |
$6K |
| 90686 |
|
1,072 |
1,066 |
$5K |
| 96127 |
|
757 |
653 |
$3K |
| 90648 |
|
312 |
308 |
$1K |
| 90670 |
|
312 |
308 |
$1K |
| 90734 |
|
224 |
224 |
$1K |
| 99381 |
|
12 |
12 |
$925.60 |
| 96160 |
|
763 |
661 |
$913.42 |
| 99173 |
|
1,245 |
1,064 |
$900.15 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,332 |
1,674 |
$745.30 |
| 96161 |
|
558 |
420 |
$741.20 |
| 90651 |
|
219 |
210 |
$740.00 |
| 90620 |
|
145 |
145 |
$580.00 |
| 90707 |
|
91 |
91 |
$514.00 |
| 90716 |
|
91 |
91 |
$514.00 |
| 90700 |
|
130 |
130 |
$470.00 |
| 90688 |
|
127 |
126 |
$342.00 |
| 90633 |
|
53 |
52 |
$340.00 |
| 90715 |
|
54 |
54 |
$230.00 |
| 90461 |
|
907 |
588 |
$219.65 |
| 81002 |
|
588 |
506 |
$0.00 |
| 83655 |
|
42 |
40 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
26 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,499 |
1,296 |
$0.00 |
| 90680 |
|
49 |
49 |
$0.00 |