| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,590 |
4,503 |
$375K |
| 99401 |
|
5,276 |
4,242 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,019 |
1,973 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
172 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
403 |
388 |
$18K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,163 |
1,143 |
$17K |
| 97802 |
|
1,916 |
1,872 |
$16K |
| 92587 |
|
1,021 |
1,011 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
104 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
120 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
87 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
808 |
788 |
$6K |
| 90461 |
|
89 |
89 |
$3K |
| 99173 |
|
1,090 |
1,081 |
$3K |
| 99442 |
|
68 |
52 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,192 |
1,179 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
132 |
65 |
$2K |
| 90686 |
|
408 |
407 |
$801.65 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
257 |
257 |
$210.00 |
| 90656 |
|
29 |
28 |
$144.52 |
| 99072 |
|
2,355 |
1,969 |
$105.00 |
| 99051 |
|
15 |
15 |
$91.88 |