| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,384 |
18,343 |
$930K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,966 |
3,256 |
$371K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,360 |
3,043 |
$340K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,657 |
4,033 |
$326K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,788 |
2,509 |
$288K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,525 |
2,203 |
$276K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,573 |
6,913 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,294 |
2,048 |
$67K |
| 90461 |
|
4,088 |
3,669 |
$51K |
| 99383 |
|
327 |
291 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
310 |
247 |
$27K |
| 90670 |
|
1,597 |
1,454 |
$24K |
| 99381 |
|
276 |
206 |
$19K |
| 99384 |
|
142 |
130 |
$15K |
| 99188 |
|
3,232 |
2,975 |
$15K |
| 90651 |
|
1,171 |
1,031 |
$14K |
| 99382 |
|
94 |
82 |
$13K |
| 90710 |
|
912 |
815 |
$10K |
| 90734 |
|
864 |
756 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,037 |
476 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
35 |
33 |
$5K |
| 90686 |
|
1,367 |
1,246 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
919 |
814 |
$4K |
| 99051 |
|
2,264 |
2,044 |
$4K |
| H0049 |
Alcohol and/or drug screening |
424 |
341 |
$3K |
| 90723 |
|
1,255 |
1,127 |
$3K |
| 90633 |
|
772 |
698 |
$3K |
| 90715 |
|
344 |
300 |
$3K |
| 85018 |
|
2,608 |
2,359 |
$2K |
| 69210 |
|
53 |
45 |
$923.70 |
| 90696 |
|
222 |
204 |
$905.27 |
| 83655 |
|
577 |
517 |
$766.95 |
| 90681 |
|
523 |
474 |
$762.18 |
| 90647 |
|
1,233 |
1,117 |
$726.88 |
| 0071A |
|
53 |
28 |
$600.00 |
| 81025 |
|
220 |
176 |
$323.34 |
| 90700 |
|
50 |
46 |
$307.92 |
| 91307 |
|
79 |
47 |
$156.37 |
| 81002 |
|
194 |
155 |
$130.38 |
| 90687 |
|
57 |
52 |
$120.03 |
| 92567 |
|
195 |
182 |
$50.36 |
| 90685 |
|
80 |
75 |
$10.00 |
| 99173 |
|
117 |
78 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
60 |
51 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
209 |
180 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
25 |
$0.00 |
| 90677 |
|
14 |
13 |
$0.00 |
| 92551 |
|
78 |
50 |
$0.00 |
| 90688 |
|
16 |
16 |
$0.00 |
| 99050 |
|
19 |
18 |
$0.00 |