| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,334 |
1,164 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
299 |
279 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
181 |
175 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
181 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
219 |
215 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
216 |
211 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
65 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
150 |
141 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
52 |
$2K |
| 87275 |
|
72 |
66 |
$880.56 |
| 92551 |
|
103 |
97 |
$874.07 |
| 87276 |
|
75 |
66 |
$867.24 |
| 90473 |
|
27 |
26 |
$240.00 |
| 99173 |
|
101 |
99 |
$209.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$170.80 |
| 90670 |
|
59 |
58 |
$0.00 |
| 90698 |
|
44 |
43 |
$0.00 |
| 97802 |
|
31 |
29 |
$0.00 |
| 90680 |
|
27 |
26 |
$0.00 |
| 90686 |
|
19 |
19 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
30 |
29 |
$0.00 |