| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,390 |
5,018 |
$527K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,354 |
6,498 |
$497K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,191 |
1,179 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,067 |
1,065 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,792 |
4,738 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,031 |
1,023 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
508 |
489 |
$42K |
| 92552 |
|
1,469 |
1,456 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
736 |
694 |
$34K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,458 |
1,399 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,904 |
1,877 |
$13K |
| 97803 |
|
1,845 |
1,774 |
$9K |
| 97802 |
|
504 |
493 |
$5K |
| 90686 |
|
1,273 |
1,256 |
$3K |
| 0072A |
|
61 |
61 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
30 |
$2K |
| 0071A |
|
47 |
47 |
$2K |
| 99173 |
|
1,491 |
1,477 |
$2K |
| 90756 |
|
92 |
92 |
$1K |
| 90670 |
|
28 |
28 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$952.75 |
| 90661 |
|
73 |
73 |
$891.93 |
| 90473 |
|
66 |
64 |
$808.94 |
| 0111A |
|
17 |
17 |
$694.60 |
| 0144A |
|
17 |
17 |
$687.52 |
| 90672 |
|
44 |
43 |
$537.33 |
| 90480 |
|
23 |
23 |
$435.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
33 |
$362.41 |
| 90656 |
|
67 |
67 |
$280.30 |
| G8780 |
Counseling for diet and physical activity performed |
27 |
26 |
$180.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$173.70 |
| 90660 |
|
18 |
18 |
$155.47 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$153.37 |
| 92283 |
|
12 |
12 |
$126.87 |
| 91321 |
|
17 |
17 |
$100.05 |
| 83655 |
|
32 |
30 |
$57.54 |
| 90685 |
|
14 |
13 |
$15.27 |
| 91307 |
|
100 |
92 |
$7.02 |
| 91311 |
|
27 |
27 |
$2.38 |
| 91314 |
|
14 |
14 |
$0.07 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |