| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,865 |
11,833 |
$319K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,945 |
8,596 |
$262K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,655 |
3,655 |
$196K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,031 |
8,843 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,116 |
4,114 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,767 |
1,752 |
$120K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,898 |
3,896 |
$103K |
| 92551 |
|
8,444 |
8,435 |
$88K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
11,897 |
11,891 |
$68K |
| 90461 |
|
2,317 |
2,295 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,028 |
4,381 |
$47K |
| 92587 |
|
3,268 |
3,253 |
$27K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,230 |
2,217 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
155 |
$16K |
| 81000 |
|
4,015 |
4,008 |
$14K |
| 98960 |
|
1,624 |
1,602 |
$13K |
| 99442 |
|
115 |
110 |
$7K |
| 99051 |
|
2,019 |
2,002 |
$4K |
| 83655 |
|
315 |
315 |
$4K |
| 0072A |
|
93 |
93 |
$3K |
| 0071A |
|
85 |
84 |
$3K |
| 96127 |
|
4,029 |
4,028 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
351 |
350 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
519 |
512 |
$2K |
| 95012 |
|
115 |
115 |
$1K |
| 99381 |
|
14 |
14 |
$1K |
| 90670 |
|
674 |
674 |
$1K |
| 90633 |
|
608 |
608 |
$660.45 |
| 90697 |
|
453 |
453 |
$300.41 |
| 99173 |
|
10,763 |
10,756 |
$276.88 |
| 90651 |
|
1,348 |
1,348 |
$273.37 |
| 81003 |
|
708 |
706 |
$228.71 |
| 90686 |
|
4,862 |
4,860 |
$196.35 |
| 97802 |
|
11,659 |
11,653 |
$183.85 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
48 |
$84.32 |
| 96160 |
|
1,419 |
1,419 |
$38.76 |
| 90661 |
|
163 |
163 |
$36.85 |
| 90698 |
|
132 |
132 |
$35.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
53 |
$28.92 |
| 90710 |
|
147 |
147 |
$17.85 |
| 99177 |
|
1,038 |
1,038 |
$6.35 |
| 91307 |
|
184 |
165 |
$0.01 |
| 90620 |
|
1,082 |
1,082 |
$0.00 |
| 99000 |
|
4,011 |
3,970 |
$0.00 |
| 1031F |
|
3,313 |
3,287 |
$0.00 |
| 90723 |
|
250 |
250 |
$0.00 |
| 90619 |
|
309 |
309 |
$0.00 |
| 90716 |
|
161 |
161 |
$0.00 |
| 90674 |
|
269 |
269 |
$0.00 |
| 90647 |
|
159 |
159 |
$0.00 |
| 36416 |
|
237 |
237 |
$0.00 |
| 90696 |
|
143 |
143 |
$0.00 |
| 90677 |
|
199 |
199 |
$0.00 |
| 90715 |
|
132 |
132 |
$0.00 |
| 90734 |
|
652 |
652 |
$0.00 |
| 90681 |
|
431 |
431 |
$0.00 |
| 99080 |
|
4,995 |
1,447 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
200 |
100 |
$0.00 |
| 90671 |
|
273 |
273 |
$0.00 |
| 90707 |
|
120 |
120 |
$0.00 |
| 90621 |
|
34 |
34 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$0.00 |