| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,683 |
3,560 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,063 |
1,059 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
811 |
807 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,401 |
1,374 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,080 |
3,049 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
403 |
399 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,193 |
1,179 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,488 |
1,460 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,890 |
1,128 |
$18K |
| S8301 |
Infection control supplies, not otherwise specified |
1,978 |
1,906 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,704 |
1,387 |
$13K |
| 81025 |
|
1,244 |
1,197 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
392 |
196 |
$5K |
| 94375 |
|
176 |
174 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
577 |
164 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
49 |
$4K |
| 96160 |
|
1,441 |
1,431 |
$3K |
| 0072A |
|
74 |
68 |
$3K |
| 0071A |
|
68 |
65 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
266 |
266 |
$2K |
| 0002A |
|
48 |
48 |
$2K |
| 90461 |
|
220 |
164 |
$1K |
| 83655 |
|
72 |
71 |
$754.84 |
| 0001A |
|
18 |
18 |
$713.60 |
| 82947 |
|
206 |
206 |
$679.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
31 |
$431.68 |
| 90686 |
|
1,415 |
1,407 |
$385.29 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
84 |
80 |
$314.29 |
| 96161 |
|
213 |
210 |
$6.21 |
| 91307 |
|
146 |
114 |
$1.26 |
| 86580 |
|
41 |
41 |
$0.41 |
| 91300 |
|
160 |
151 |
$0.25 |
| 90671 |
|
12 |
12 |
$0.12 |
| 90651 |
|
37 |
37 |
$0.00 |
| 90620 |
|
45 |
44 |
$0.00 |
| 90658 |
|
41 |
39 |
$0.00 |
| 90734 |
|
50 |
50 |
$0.00 |
| 90685 |
|
53 |
53 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 90670 |
|
28 |
27 |
$0.00 |