| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,966 |
10,497 |
$739K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,418 |
3,765 |
$405K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,949 |
1,826 |
$229K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,535 |
1,449 |
$200K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,390 |
1,336 |
$190K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
762 |
684 |
$104K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,544 |
4,214 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,153 |
1,010 |
$11K |
| 90461 |
|
1,756 |
1,630 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,235 |
1,117 |
$8K |
| 90670 |
|
638 |
578 |
$6K |
| 90707 |
|
170 |
166 |
$6K |
| 90651 |
|
424 |
411 |
$5K |
| 90619 |
|
127 |
119 |
$2K |
| 90620 |
|
126 |
122 |
$715.98 |
| 90686 |
|
1,646 |
1,507 |
$373.47 |
| 90698 |
|
364 |
313 |
$192.25 |
| 90734 |
|
118 |
112 |
$188.33 |
| 99050 |
|
39 |
39 |
$151.66 |
| 90716 |
|
277 |
271 |
$150.98 |
| 90715 |
|
41 |
41 |
$140.02 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$122.16 |
| 90633 |
|
329 |
319 |
$75.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
499 |
497 |
$49.78 |
| 99173 |
|
425 |
404 |
$31.46 |
| 81002 |
|
12 |
12 |
$6.27 |
| 90677 |
|
92 |
91 |
$0.01 |
| 90656 |
|
90 |
90 |
$0.00 |
| 96127 |
|
365 |
346 |
$0.00 |
| 90680 |
|
181 |
174 |
$0.00 |
| 90744 |
|
68 |
66 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
19 |
$0.00 |
| 90700 |
|
260 |
247 |
$0.00 |
| 90713 |
|
51 |
49 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |