| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,490 |
7,010 |
$447K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,890 |
4,529 |
$421K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,876 |
2,864 |
$224K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,247 |
2,225 |
$188K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,147 |
2,098 |
$164K |
| 92552 |
|
5,930 |
5,864 |
$161K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,043 |
1,009 |
$75K |
| 90686 |
|
2,768 |
2,750 |
$31K |
| 90651 |
|
484 |
483 |
$21K |
| 90670 |
|
1,164 |
1,133 |
$20K |
| 90734 |
|
613 |
607 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,748 |
1,719 |
$15K |
| 99173 |
|
5,926 |
5,860 |
$14K |
| 90649 |
|
348 |
344 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,495 |
1,461 |
$6K |
| 0072A |
|
143 |
143 |
$6K |
| 0071A |
|
142 |
142 |
$6K |
| 90633 |
|
423 |
419 |
$5K |
| 90685 |
|
436 |
434 |
$5K |
| 90688 |
|
256 |
253 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
332 |
161 |
$4K |
| 90723 |
|
305 |
292 |
$4K |
| 96127 |
|
695 |
694 |
$3K |
| 0154A |
|
72 |
72 |
$3K |
| 90715 |
|
120 |
120 |
$2K |
| 90698 |
|
100 |
99 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
123 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
44 |
$1K |
| 90680 |
|
95 |
94 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
71 |
68 |
$1K |
| 90648 |
|
75 |
75 |
$825.56 |
| 90621 |
|
36 |
36 |
$553.15 |
| 90710 |
|
12 |
12 |
$514.82 |
| 90744 |
|
35 |
35 |
$419.20 |
| 90716 |
|
26 |
26 |
$397.10 |
| 94664 |
|
23 |
23 |
$326.37 |
| 90620 |
|
12 |
12 |
$322.29 |
| 90655 |
|
28 |
28 |
$313.88 |
| 90677 |
|
27 |
27 |
$297.00 |
| 90656 |
|
14 |
14 |
$279.36 |
| 90700 |
|
24 |
24 |
$264.40 |
| 90681 |
|
14 |
14 |
$260.45 |
| 90696 |
|
12 |
12 |
$208.70 |
| 90707 |
|
14 |
14 |
$154.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
90 |
90 |
$7.50 |
| 91307 |
|
288 |
277 |
$1.92 |
| 91315 |
|
72 |
72 |
$0.00 |