| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,895 |
6,231 |
$390K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,977 |
1,848 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,021 |
2,014 |
$147K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,777 |
1,771 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,301 |
5,109 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,242 |
1,240 |
$101K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,324 |
1,294 |
$87K |
| 90461 |
|
1,336 |
1,237 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
416 |
411 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,241 |
1,239 |
$8K |
| 96127 |
|
1,341 |
1,317 |
$5K |
| 90671 |
|
40 |
40 |
$4K |
| 99173 |
|
1,836 |
1,833 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
51 |
$3K |
| 0071A |
|
64 |
64 |
$2K |
| 0072A |
|
43 |
42 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
19 |
$365.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
58 |
$336.13 |
| 90670 |
|
596 |
595 |
$277.08 |
| 90686 |
|
1,352 |
1,346 |
$71.94 |
| S9441 |
Asthma education, non-physician provider, per session |
27 |
25 |
$8.75 |
| 91307 |
|
89 |
82 |
$0.33 |
| 90651 |
|
55 |
55 |
$0.00 |
| 90656 |
|
98 |
98 |
$0.00 |
| 90647 |
|
247 |
247 |
$0.00 |
| 90723 |
|
334 |
334 |
$0.00 |
| 3008F |
|
1,089 |
1,085 |
$0.00 |
| 90680 |
|
223 |
223 |
$0.00 |
| 99000 |
|
177 |
170 |
$0.00 |
| 99080 |
|
117 |
43 |
$0.00 |
| 90710 |
|
47 |
47 |
$0.00 |
| 90734 |
|
199 |
199 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90633 |
|
56 |
56 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
18 |
18 |
$0.00 |