| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,812 |
3,591 |
$242K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,577 |
1,569 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,103 |
1,079 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,195 |
1,143 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
914 |
910 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,827 |
2,790 |
$62K |
| 92552 |
|
1,558 |
1,555 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
223 |
222 |
$20K |
| 97802 |
|
3,336 |
3,258 |
$11K |
| 99188 |
|
1,142 |
1,140 |
$8K |
| 99401 |
|
597 |
575 |
$4K |
| 99381 |
|
39 |
39 |
$3K |
| 99382 |
|
29 |
29 |
$3K |
| 99383 |
|
29 |
29 |
$3K |
| 81002 |
|
1,088 |
1,076 |
$2K |
| 96160 |
|
1,682 |
1,675 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
143 |
$1K |
| 81003 |
|
606 |
605 |
$763.33 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,347 |
2,326 |
$392.50 |
| 36415 |
Collection of venous blood by venipuncture |
127 |
127 |
$368.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
31 |
31 |
$287.97 |
| 36416 |
|
41 |
41 |
$170.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$157.44 |
| 96127 |
|
27 |
27 |
$75.24 |
| 99173 |
|
1,480 |
1,466 |
$36.75 |
| 90658 |
|
148 |
147 |
$34.11 |
| 90461 |
|
1,559 |
1,542 |
$14.00 |
| 90716 |
|
289 |
289 |
$0.00 |
| 90688 |
|
98 |
98 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90651 |
|
30 |
30 |
$0.00 |
| 90698 |
|
29 |
29 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90686 |
|
22 |
19 |
$0.00 |
| 90670 |
|
501 |
495 |
$0.00 |
| 90633 |
|
190 |
190 |
$0.00 |
| 90700 |
|
72 |
72 |
$0.00 |
| 90707 |
|
255 |
255 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |