| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,031 |
8,576 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,539 |
4,321 |
$33K |
| 59425 |
|
449 |
374 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,171 |
3,107 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
245 |
244 |
$13K |
| 88141 |
|
134 |
68 |
$7K |
| G9920 |
Screening performed and negative |
3,555 |
3,535 |
$6K |
| 92551 |
|
2,854 |
2,826 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
737 |
729 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
666 |
661 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
785 |
760 |
$4K |
| 0012A |
|
156 |
104 |
$3K |
| 0011A |
|
187 |
135 |
$3K |
| 90674 |
|
102 |
101 |
$2K |
| 90686 |
|
601 |
597 |
$2K |
| 93000 |
|
331 |
331 |
$1K |
| 90648 |
|
356 |
350 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,543 |
2,490 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$972.02 |
| 85018 |
|
4,133 |
4,016 |
$825.30 |
| 90723 |
|
183 |
183 |
$788.91 |
| 81003 |
|
2,730 |
2,611 |
$742.31 |
| 90670 |
|
217 |
216 |
$656.64 |
| 0013A |
|
28 |
19 |
$640.00 |
| 90656 |
|
133 |
131 |
$510.35 |
| 81025 |
|
143 |
137 |
$495.65 |
| 90677 |
|
128 |
126 |
$468.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$435.54 |
| 99000 |
|
140 |
138 |
$392.34 |
| 90633 |
|
126 |
126 |
$257.91 |
| 90680 |
|
39 |
39 |
$225.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,203 |
5,897 |
$131.75 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
324 |
322 |
$128.87 |
| 90734 |
|
55 |
55 |
$99.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
256 |
231 |
$73.56 |
| 90715 |
|
13 |
13 |
$72.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
397 |
388 |
$58.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$37.84 |
| 90710 |
|
24 |
24 |
$35.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
28 |
$28.31 |
| 36415 |
Collection of venous blood by venipuncture |
742 |
728 |
$25.00 |
| 99173 |
|
2,258 |
2,240 |
$20.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,211 |
1,186 |
$17.66 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
13 |
$11.98 |
| 99401 |
|
2,462 |
2,412 |
$0.00 |
| 3078F |
|
3,541 |
3,353 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
429 |
429 |
$0.00 |
| 3725F |
|
600 |
597 |
$0.00 |
| 3077F |
|
693 |
662 |
$0.00 |
| 0502F |
|
307 |
254 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
25 |
25 |
$0.00 |
| 99499 |
|
286 |
286 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$0.00 |
| 90649 |
|
24 |
24 |
$0.00 |
| 3079F |
|
980 |
950 |
$0.00 |
| 3075F |
|
706 |
677 |
$0.00 |
| 3044F |
|
1,065 |
1,046 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,581 |
1,576 |
$0.00 |
| 3074F |
|
3,345 |
3,187 |
$0.00 |
| 3080F |
|
147 |
142 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
226 |
226 |
$0.00 |
| 91301 |
|
211 |
211 |
$0.00 |
| 99385 |
|
45 |
45 |
$0.00 |
| 99386 |
|
79 |
79 |
$0.00 |