| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,011 |
9,798 |
$463K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,138 |
1,123 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,075 |
1,059 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
969 |
959 |
$83K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,261 |
3,971 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
656 |
640 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,418 |
2,384 |
$26K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,685 |
1,533 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,743 |
1,395 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,228 |
914 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
155 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
283 |
268 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
390 |
385 |
$5K |
| 86580 |
|
638 |
628 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
288 |
287 |
$4K |
| 90473 |
|
343 |
337 |
$3K |
| 96160 |
|
1,054 |
1,048 |
$3K |
| 99429 |
|
52 |
52 |
$2K |
| 99381 |
|
12 |
12 |
$1K |
| 97169 |
|
16 |
16 |
$630.00 |
| 97804 |
|
2,213 |
2,191 |
$542.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$436.80 |
| 92551 |
|
890 |
880 |
$432.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,953 |
2,922 |
$29.12 |
| 90686 |
|
925 |
922 |
$27.00 |
| 90620 |
|
109 |
109 |
$10.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,325 |
2,302 |
$5.00 |
| 90651 |
|
208 |
207 |
$4.00 |
| 90671 |
|
48 |
48 |
$3.00 |
| 90680 |
|
326 |
320 |
$0.00 |
| 90723 |
|
63 |
62 |
$0.00 |
| 97802 |
|
109 |
109 |
$0.00 |
| 90697 |
|
15 |
13 |
$0.00 |
| 99173 |
|
1,259 |
1,244 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90670 |
|
599 |
587 |
$0.00 |
| 90633 |
|
121 |
119 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 90710 |
|
107 |
103 |
$0.00 |
| 90648 |
|
193 |
190 |
$0.00 |
| 90734 |
|
200 |
200 |
$0.00 |