| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,306 |
13,865 |
$318K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,032 |
24,573 |
$253K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,952 |
3,893 |
$169K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,890 |
3,806 |
$152K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,726 |
6,606 |
$145K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,516 |
2,434 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,174 |
2,143 |
$95K |
| 90461 |
|
4,811 |
4,710 |
$88K |
| 90651 |
|
801 |
761 |
$46K |
| 90734 |
|
727 |
695 |
$24K |
| 90671 |
|
117 |
117 |
$21K |
| 90620 |
|
375 |
342 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,566 |
2,412 |
$14K |
| 90686 |
|
4,019 |
3,787 |
$14K |
| 90697 |
|
120 |
108 |
$13K |
| 90710 |
|
555 |
524 |
$13K |
| 90658 |
|
932 |
918 |
$11K |
| 90670 |
|
823 |
798 |
$11K |
| 99401 |
|
2,598 |
2,585 |
$5K |
| 90633 |
|
781 |
742 |
$3K |
| 87430 |
|
1,453 |
1,374 |
$3K |
| 90744 |
|
583 |
554 |
$3K |
| 90715 |
|
279 |
275 |
$2K |
| 99173 |
|
3,439 |
3,346 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$2K |
| 97803 |
|
1,463 |
1,427 |
$1K |
| 99383 |
|
28 |
27 |
$1K |
| G0473 |
Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
1,281 |
1,243 |
$960.41 |
| 90696 |
|
105 |
98 |
$775.78 |
| 99381 |
|
14 |
14 |
$737.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,509 |
2,497 |
$713.20 |
| 90700 |
|
197 |
194 |
$583.53 |
| 96160 |
|
310 |
303 |
$431.44 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
268 |
264 |
$425.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$183.85 |
| 94664 |
|
18 |
18 |
$180.02 |
| 90655 |
|
25 |
25 |
$150.82 |
| 90648 |
|
141 |
135 |
$122.63 |
| 96161 |
|
34 |
32 |
$16.91 |
| G9920 |
Screening performed and negative |
34 |
32 |
$12.00 |
| 99000 |
|
611 |
590 |
$7.50 |
| 90698 |
|
96 |
96 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90680 |
|
14 |
12 |
$0.00 |
| 90681 |
|
31 |
29 |
$0.00 |