| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,466 |
3,665 |
$345K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,753 |
3,099 |
$203K |
| 99215 |
Prolong outpt/office vis |
543 |
440 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,666 |
1,516 |
$26K |
| 99401 |
|
473 |
383 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
115 |
$10K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
258 |
216 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
410 |
395 |
$6K |
| 96127 |
|
584 |
521 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
436 |
419 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
54 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,233 |
1,924 |
$5K |
| 99205 |
Prolong outpt/office vis |
37 |
28 |
$5K |
| 99173 |
|
483 |
448 |
$4K |
| 90688 |
|
514 |
461 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
19 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
76 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
12 |
$950.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
65 |
$730.66 |
| 99406 |
|
88 |
67 |
$703.83 |
| 99000 |
|
443 |
363 |
$689.01 |
| H0049 |
Alcohol and/or drug screening |
169 |
145 |
$332.95 |
| 0013A |
|
15 |
12 |
$329.44 |
| 81001 |
|
211 |
184 |
$194.20 |
| 94760 |
|
79 |
70 |
$104.86 |
| 90633 |
|
31 |
28 |
$38.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$27.18 |
| 90686 |
|
111 |
109 |
$20.03 |
| 86403 |
|
13 |
13 |
$4.11 |
| 3078F |
|
292 |
249 |
$0.00 |
| 96160 |
|
335 |
289 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 3074F |
|
272 |
239 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
41 |
28 |
$0.00 |
| 3079F |
|
28 |
26 |
$0.00 |