| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,955 |
2,935 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,297 |
3,263 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,261 |
2,230 |
$56K |
| 92552 |
|
9,442 |
9,417 |
$30K |
| 99381 |
|
423 |
405 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,886 |
11,683 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
436 |
421 |
$22K |
| 99383 |
|
397 |
381 |
$19K |
| 99384 |
|
206 |
191 |
$11K |
| 86580 |
|
6,251 |
6,234 |
$11K |
| 83050 |
|
8,640 |
8,589 |
$10K |
| 90670 |
|
1,600 |
1,568 |
$8K |
| 90648 |
|
1,600 |
1,559 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,116 |
1,093 |
$7K |
| 90686 |
|
1,710 |
1,697 |
$7K |
| 99382 |
|
131 |
131 |
$7K |
| 81000 |
|
7,329 |
7,308 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,744 |
4,589 |
$6K |
| 90734 |
|
1,468 |
1,468 |
$6K |
| 90649 |
|
1,562 |
1,561 |
$5K |
| 90723 |
|
1,223 |
1,194 |
$5K |
| 83026 |
|
2,615 |
2,613 |
$5K |
| 90715 |
|
779 |
777 |
$4K |
| 90707 |
|
1,038 |
1,030 |
$4K |
| 90633 |
|
983 |
967 |
$4K |
| 90620 |
|
864 |
863 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
301 |
300 |
$3K |
| 81003 |
|
1,975 |
1,772 |
$3K |
| 90716 |
|
1,106 |
1,095 |
$3K |
| 90680 |
|
712 |
694 |
$3K |
| 99173 |
|
1,178 |
1,178 |
$2K |
| 90696 |
|
291 |
289 |
$2K |
| 83655 |
|
340 |
330 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
132 |
128 |
$1K |
| 92081 |
|
6,851 |
6,837 |
$308.82 |
| 90700 |
|
104 |
103 |
$306.00 |
| 90658 |
|
69 |
68 |
$135.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
30 |
$1.98 |