| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,563 |
12,249 |
$586K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,742 |
4,536 |
$261K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,737 |
8,543 |
$192K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,095 |
3,065 |
$173K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,021 |
2,953 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,400 |
1,393 |
$83K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,634 |
5,560 |
$78K |
| 90461 |
|
3,599 |
3,537 |
$51K |
| 90677 |
|
318 |
311 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
520 |
519 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,647 |
2,580 |
$27K |
| 99460 |
|
351 |
347 |
$26K |
| 99174 |
|
2,011 |
1,979 |
$22K |
| 92587 |
|
966 |
963 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
313 |
309 |
$17K |
| 3008F |
|
3,986 |
3,918 |
$16K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
100 |
95 |
$11K |
| 36406 |
|
928 |
916 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,867 |
1,821 |
$9K |
| 90670 |
|
823 |
804 |
$9K |
| 92552 |
|
968 |
958 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
216 |
$8K |
| 90686 |
|
1,414 |
1,388 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
94 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
26 |
26 |
$4K |
| 90716 |
|
140 |
135 |
$4K |
| 99401 |
|
501 |
494 |
$3K |
| 96160 |
|
5,559 |
5,522 |
$3K |
| 0071A |
|
63 |
63 |
$2K |
| 99173 |
|
1,972 |
1,921 |
$2K |
| 90656 |
|
198 |
197 |
$2K |
| 90619 |
|
17 |
17 |
$2K |
| 90707 |
|
145 |
142 |
$2K |
| 0072A |
|
50 |
50 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
15 |
12 |
$2K |
| 99188 |
|
74 |
74 |
$2K |
| 96127 |
|
707 |
693 |
$1K |
| 90633 |
|
482 |
461 |
$1K |
| 90680 |
|
685 |
650 |
$1K |
| 99462 |
|
41 |
37 |
$1K |
| 96161 |
|
496 |
404 |
$1K |
| 92551 |
|
109 |
109 |
$949.58 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$918.92 |
| 90698 |
|
463 |
443 |
$714.65 |
| 0081A |
|
12 |
12 |
$480.00 |
| 90715 |
|
28 |
28 |
$476.16 |
| 92567 |
|
56 |
54 |
$417.21 |
| 90696 |
|
59 |
53 |
$408.31 |
| 90723 |
|
41 |
40 |
$347.74 |
| 90744 |
|
218 |
211 |
$294.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$283.02 |
| 90700 |
|
64 |
62 |
$159.46 |
| 90647 |
|
187 |
172 |
$84.89 |
| 99177 |
|
34 |
34 |
$81.43 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$54.09 |
| 91307 |
|
108 |
97 |
$1.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,161 |
2,099 |
$0.00 |
| 91305 |
|
16 |
15 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
96 |
92 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 90710 |
|
18 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
166 |
160 |
$0.00 |
| 99072 |
|
12 |
12 |
$0.00 |
| 90648 |
|
30 |
30 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 91308 |
|
13 |
13 |
$0.00 |