| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,658 |
21,911 |
$1.74M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,997 |
7,564 |
$723K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,401 |
3,388 |
$274K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,321 |
3,300 |
$259K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,248 |
2,235 |
$193K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,031 |
2,001 |
$147K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,937 |
8,827 |
$98K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,988 |
7,863 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,599 |
4,566 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,540 |
1,411 |
$68K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,501 |
4,342 |
$59K |
| 92551 |
|
8,488 |
8,425 |
$59K |
| 99401 |
|
10,435 |
9,818 |
$24K |
| 99383 |
|
211 |
210 |
$21K |
| 99051 |
|
7,255 |
6,660 |
$20K |
| 99382 |
|
200 |
199 |
$20K |
| 99406 |
|
2,275 |
2,187 |
$14K |
| 99381 |
|
108 |
108 |
$9K |
| 96127 |
|
2,304 |
2,303 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
69 |
$6K |
| 99384 |
|
53 |
53 |
$6K |
| 99215 |
Prolong outpt/office vis |
50 |
49 |
$5K |
| 90474 |
|
675 |
664 |
$4K |
| 86580 |
|
688 |
666 |
$4K |
| 97803 |
|
2,778 |
2,687 |
$4K |
| 99050 |
|
913 |
879 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
105 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
85 |
82 |
$1K |
| 97802 |
|
313 |
308 |
$1K |
| 81002 |
|
561 |
544 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
162 |
157 |
$685.00 |
| 69209 |
|
41 |
41 |
$458.74 |
| 36416 |
|
185 |
185 |
$357.24 |
| 94010 |
|
18 |
16 |
$282.93 |
| 90473 |
|
146 |
143 |
$273.60 |
| 93000 |
|
24 |
24 |
$226.41 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,174 |
2,145 |
$200.00 |
| 99000 |
|
658 |
634 |
$140.00 |
| 99173 |
|
6,761 |
6,710 |
$31.93 |
| 90686 |
|
2,525 |
2,508 |
$22.58 |
| 90651 |
|
820 |
817 |
$0.00 |
| 90696 |
|
237 |
236 |
$0.00 |
| 3074F |
|
7,575 |
7,527 |
$0.00 |
| 90680 |
|
628 |
624 |
$0.00 |
| 90723 |
|
690 |
686 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,188 |
3,094 |
$0.00 |
| 90688 |
|
26 |
26 |
$0.00 |
| 87110 |
|
311 |
306 |
$0.00 |
| 3008F |
|
8,416 |
8,363 |
$0.00 |
| 90716 |
|
86 |
86 |
$0.00 |
| 90619 |
|
273 |
272 |
$0.00 |
| 90677 |
|
264 |
264 |
$0.00 |
| 3079F |
|
362 |
354 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
38 |
38 |
$0.00 |
| 90656 |
|
180 |
180 |
$0.00 |
| A9150 |
Non-prescription drugs |
38 |
38 |
$0.00 |
| 3078F |
|
7,064 |
7,019 |
$0.00 |
| 90685 |
|
80 |
80 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
1,156 |
1,131 |
$0.00 |
| 90670 |
|
1,448 |
1,442 |
$0.00 |
| 90707 |
|
100 |
100 |
$0.00 |
| 3511F |
|
302 |
299 |
$0.00 |
| 90633 |
|
1,157 |
1,154 |
$0.00 |
| 90648 |
|
1,211 |
1,204 |
$0.00 |
| 90734 |
|
510 |
507 |
$0.00 |
| 90715 |
|
264 |
262 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,123 |
1,103 |
$0.00 |
| 90710 |
|
286 |
285 |
$0.00 |
| 90621 |
|
343 |
340 |
$0.00 |
| 98960 |
|
29 |
28 |
$0.00 |
| 90700 |
|
113 |
113 |
$0.00 |
| 90687 |
|
25 |
25 |
$0.00 |
| 99499 |
|
16 |
16 |
$0.00 |
| 90461 |
|
30 |
30 |
$0.00 |