| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,894 |
28,555 |
$3.13M |
| T1015 |
Clinic visit/encounter, all-inclusive |
31,149 |
24,602 |
$3.10M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,378 |
4,072 |
$409K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,149 |
3,678 |
$385K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,311 |
3,209 |
$315K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,196 |
3,051 |
$299K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,178 |
6,805 |
$171K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,542 |
10,702 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,349 |
1,236 |
$139K |
| 96127 |
|
10,771 |
10,221 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
812 |
801 |
$70K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,399 |
2,052 |
$54K |
| 90461 |
|
1,968 |
1,855 |
$18K |
| 83655 |
|
1,426 |
1,382 |
$16K |
| 81002 |
|
5,375 |
5,063 |
$15K |
| 97802 |
|
1,280 |
1,178 |
$14K |
| 99401 |
|
1,728 |
1,573 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
139 |
139 |
$12K |
| 99381 |
|
74 |
72 |
$8K |
| 81025 |
|
1,190 |
1,139 |
$8K |
| 90670 |
|
1,875 |
1,702 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
691 |
627 |
$5K |
| 85018 |
|
1,817 |
1,708 |
$4K |
| 90710 |
|
1,430 |
1,300 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
174 |
$693.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
82 |
$527.64 |
| 90633 |
|
1,526 |
1,397 |
$417.74 |
| 90723 |
|
1,981 |
1,838 |
$309.08 |
| 90651 |
|
964 |
927 |
$251.89 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
28 |
$178.88 |
| 82947 |
|
37 |
36 |
$156.08 |
| 90647 |
|
1,992 |
1,839 |
$154.14 |
| 90700 |
|
229 |
213 |
$52.16 |
| 90686 |
|
564 |
529 |
$49.26 |
| 90688 |
|
1,072 |
1,050 |
$46.17 |
| 90715 |
|
910 |
872 |
$10.00 |
| 90696 |
|
364 |
332 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
255 |
253 |
$0.00 |
| 99402 |
|
13 |
13 |
$0.00 |
| 99173 |
|
2,389 |
2,286 |
$0.00 |
| 90734 |
|
660 |
637 |
$0.00 |
| 90681 |
|
946 |
868 |
$0.00 |
| 90671 |
|
704 |
673 |
$0.00 |
| 90672 |
|
101 |
93 |
$0.00 |