| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,191 |
7,767 |
$639K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,666 |
3,119 |
$296K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,692 |
2,372 |
$231K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,506 |
1,277 |
$135K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,304 |
1,176 |
$114K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,766 |
5,227 |
$104K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,070 |
5,999 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
598 |
520 |
$55K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,733 |
3,403 |
$50K |
| 90474 |
|
1,799 |
1,635 |
$19K |
| 99381 |
|
179 |
167 |
$16K |
| 99173 |
|
2,168 |
1,916 |
$13K |
| 90670 |
|
1,333 |
1,247 |
$12K |
| 90680 |
|
1,891 |
1,697 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
505 |
417 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
244 |
199 |
$6K |
| 90697 |
|
1,089 |
957 |
$5K |
| 90698 |
|
779 |
703 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
578 |
502 |
$3K |
| 90633 |
|
929 |
813 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
161 |
149 |
$3K |
| 90671 |
|
422 |
397 |
$3K |
| 90686 |
|
1,479 |
1,275 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
177 |
119 |
$2K |
| 96127 |
|
155 |
140 |
$2K |
| 90716 |
|
309 |
271 |
$2K |
| 90473 |
|
141 |
103 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
760 |
665 |
$2K |
| 90707 |
|
309 |
270 |
$1K |
| 0071A |
|
35 |
35 |
$1K |
| 90651 |
|
39 |
38 |
$1K |
| 87807 |
|
103 |
96 |
$1K |
| 99383 |
|
15 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$1K |
| 0072A |
|
41 |
31 |
$1K |
| 90700 |
|
279 |
256 |
$880.14 |
| 90619 |
|
33 |
31 |
$774.82 |
| 90648 |
|
256 |
238 |
$431.01 |
| 90656 |
|
194 |
189 |
$423.77 |
| 90688 |
|
14 |
14 |
$260.81 |
| 81002 |
|
68 |
64 |
$224.48 |
| 90744 |
|
251 |
234 |
$204.57 |
| 96380 |
|
25 |
14 |
$166.00 |
| 90660 |
|
33 |
31 |
$164.70 |
| 90672 |
|
128 |
90 |
$0.00 |
| 90710 |
|
18 |
13 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 91307 |
|
72 |
66 |
$0.00 |
| 90677 |
|
829 |
680 |
$0.00 |
| 90696 |
|
17 |
12 |
$0.00 |
| 90381 |
|
19 |
13 |
$0.00 |