| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,590 |
8,898 |
$873K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,487 |
3,480 |
$369K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,809 |
9,549 |
$345K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,940 |
4,500 |
$262K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,590 |
2,466 |
$252K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,946 |
1,945 |
$210K |
| 90461 |
|
1,345 |
1,341 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
378 |
$44K |
| 92551 |
|
3,289 |
3,289 |
$38K |
| 99441 |
|
440 |
416 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,313 |
1,310 |
$9K |
| 99173 |
|
3,442 |
3,441 |
$8K |
| 97802 |
|
2,412 |
2,407 |
$4K |
| 99460 |
|
37 |
37 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
107 |
$3K |
| 0072A |
|
49 |
49 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$2K |
| 96127 |
|
458 |
458 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
116 |
116 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
99 |
94 |
$1K |
| 99462 |
|
25 |
25 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
85 |
$1K |
| 85018 |
|
440 |
440 |
$837.99 |
| 90698 |
|
820 |
819 |
$499.80 |
| 0071A |
|
15 |
15 |
$473.09 |
| 90686 |
|
2,263 |
2,261 |
$386.29 |
| 99401 |
|
13 |
13 |
$328.12 |
| 99072 |
|
97 |
97 |
$258.25 |
| 36415 |
Collection of venous blood by venipuncture |
99 |
99 |
$229.31 |
| 90633 |
|
235 |
235 |
$162.30 |
| 83026 |
|
54 |
54 |
$57.81 |
| 90656 |
|
136 |
136 |
$22.35 |
| 90688 |
|
34 |
34 |
$17.42 |
| 90671 |
|
113 |
113 |
$0.68 |
| 91307 |
|
48 |
48 |
$0.25 |
| 90672 |
|
997 |
997 |
$0.02 |
| 90710 |
|
454 |
454 |
$0.01 |
| 90670 |
|
1,291 |
1,291 |
$0.00 |
| 90685 |
|
160 |
160 |
$0.00 |
| 99080 |
|
349 |
207 |
$0.00 |
| 90681 |
|
199 |
199 |
$0.00 |
| 90649 |
|
28 |
28 |
$0.00 |
| 90660 |
|
67 |
67 |
$0.00 |
| 90696 |
|
109 |
109 |
$0.00 |
| 90744 |
|
167 |
167 |
$0.00 |
| 36416 |
|
563 |
562 |
$0.00 |