| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,699 |
8,526 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,362 |
3,055 |
$17K |
| 90686 |
|
566 |
561 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
157 |
$4K |
| 92551 |
|
1,607 |
1,602 |
$3K |
| G9920 |
Screening performed and negative |
1,242 |
1,241 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
851 |
827 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,143 |
1,135 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
99 |
$1K |
| 81003 |
|
2,146 |
2,090 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
472 |
472 |
$975.85 |
| 85018 |
|
1,997 |
1,959 |
$752.87 |
| 0012A |
|
36 |
35 |
$520.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
65 |
$461.64 |
| 0011A |
|
30 |
30 |
$350.00 |
| 0002A |
|
38 |
38 |
$340.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
374 |
373 |
$308.80 |
| 0001A |
|
44 |
44 |
$269.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
662 |
651 |
$247.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
66 |
$138.53 |
| 90674 |
|
12 |
12 |
$133.68 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,677 |
1,675 |
$124.25 |
| 90651 |
|
25 |
25 |
$99.00 |
| 90734 |
|
12 |
12 |
$63.00 |
| 90656 |
|
13 |
13 |
$44.70 |
| 93000 |
|
12 |
12 |
$28.41 |
| H0049 |
Alcohol and/or drug screening |
1,265 |
1,264 |
$0.30 |
| 36415 |
Collection of venous blood by venipuncture |
2,430 |
2,363 |
$0.00 |
| 3079F |
|
220 |
215 |
$0.00 |
| 3075F |
|
521 |
510 |
$0.00 |
| 3080F |
|
567 |
529 |
$0.00 |
| 3044F |
|
355 |
326 |
$0.00 |
| 3074F |
|
2,783 |
2,494 |
$0.00 |
| 91301 |
|
36 |
35 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 99401 |
|
949 |
941 |
$0.00 |
| 99173 |
|
1,152 |
1,148 |
$0.00 |
| 3725F |
|
328 |
326 |
$0.00 |
| 3077F |
|
823 |
760 |
$0.00 |
| 3078F |
|
3,337 |
2,965 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
137 |
135 |
$0.00 |
| 99499 |
|
141 |
141 |
$0.00 |
| 91300 |
|
64 |
59 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$0.00 |