| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,461 |
24,868 |
$1.04M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,102 |
2,993 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,460 |
979 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
492 |
451 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
562 |
498 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
413 |
403 |
$24K |
| 90686 |
|
1,844 |
1,778 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
356 |
350 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
190 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
501 |
473 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
89 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
73 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
442 |
387 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
68 |
55 |
$3K |
| 99442 |
|
113 |
112 |
$3K |
| 87428 |
|
59 |
53 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 0001A |
|
19 |
19 |
$2K |
| 99441 |
|
146 |
143 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
211 |
205 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
33 |
$1K |
| 90670 |
|
252 |
225 |
$1K |
| 90656 |
|
121 |
113 |
$1K |
| 90651 |
|
97 |
95 |
$1K |
| 90715 |
|
57 |
56 |
$886.67 |
| 0002A |
|
16 |
16 |
$639.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$334.15 |
| 90671 |
|
44 |
42 |
$266.24 |
| 36416 |
|
194 |
186 |
$234.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$231.19 |
| 90734 |
|
64 |
63 |
$168.92 |
| 81002 |
|
15 |
14 |
$35.56 |
| 99173 |
|
15 |
14 |
$35.53 |
| 91300 |
|
50 |
45 |
$0.45 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
28 |
26 |
$0.00 |
| 90680 |
|
39 |
32 |
$0.00 |
| 90698 |
|
70 |
60 |
$0.00 |
| 3061F |
|
14 |
12 |
$0.00 |
| 90744 |
|
18 |
17 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90461 |
|
278 |
146 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
13 |
$0.00 |
| 90633 |
|
27 |
26 |
$0.00 |
| 90685 |
|
14 |
12 |
$0.00 |