| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,181 |
2,755 |
$217K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,017 |
1,871 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
287 |
285 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
299 |
298 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
134 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,337 |
1,307 |
$7K |
| 97802 |
|
604 |
601 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
357 |
356 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,225 |
1,155 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
25 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 90461 |
|
49 |
41 |
$887.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
223 |
197 |
$700.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
56 |
$398.05 |
| 90734 |
|
16 |
15 |
$377.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$261.66 |
| 94667 |
|
19 |
17 |
$212.16 |
| 90651 |
|
16 |
16 |
$63.19 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
13 |
$42.68 |
| 90715 |
|
12 |
12 |
$41.39 |
| 90686 |
|
76 |
75 |
$39.15 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
377 |
374 |
$30.00 |
| 99173 |
|
848 |
790 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
852 |
777 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
388 |
376 |
$0.00 |