| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,974 |
2,599 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
575 |
561 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
480 |
471 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
341 |
332 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
310 |
257 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
587 |
555 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,100 |
1,035 |
$4K |
| 99381 |
|
27 |
27 |
$720.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
30 |
$607.16 |
| 86580 |
|
265 |
241 |
$235.38 |
| 90686 |
|
269 |
264 |
$133.21 |
| 90461 |
|
469 |
444 |
$120.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
18 |
$112.56 |
| 96127 |
|
380 |
376 |
$45.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$30.63 |
| S9470 |
Nutritional counseling, dietitian visit |
682 |
642 |
$18.34 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
77 |
77 |
$10.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
188 |
187 |
$5.24 |
| 90733 |
|
145 |
133 |
$0.00 |
| 90651 |
|
281 |
272 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
673 |
633 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
43 |
38 |
$0.00 |
| 90680 |
|
322 |
303 |
$0.00 |
| 90698 |
|
263 |
256 |
$0.00 |
| 90744 |
|
251 |
220 |
$0.00 |
| 90716 |
|
25 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
71 |
71 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90710 |
|
194 |
179 |
$0.00 |
| 90633 |
|
363 |
340 |
$0.00 |
| 90670 |
|
434 |
420 |
$0.00 |
| 90648 |
|
77 |
64 |
$0.00 |
| 90700 |
|
67 |
66 |
$0.00 |
| 90713 |
|
14 |
12 |
$0.00 |