| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,807 |
15,435 |
$1.16M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,258 |
2,258 |
$175K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,968 |
1,967 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,518 |
1,488 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,604 |
1,604 |
$136K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,394 |
1,364 |
$95K |
| 92587 |
|
4,428 |
4,428 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,183 |
6,009 |
$94K |
| 90461 |
|
1,735 |
1,725 |
$28K |
| 99401 |
|
955 |
955 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,040 |
3,034 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
172 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,248 |
1,196 |
$8K |
| 83655 |
|
897 |
897 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
308 |
303 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
67 |
$6K |
| 99442 |
|
103 |
96 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
4,595 |
4,552 |
$3K |
| 99173 |
|
3,566 |
3,566 |
$3K |
| 90671 |
|
51 |
51 |
$3K |
| 36406 |
|
293 |
292 |
$2K |
| 90619 |
|
197 |
197 |
$2K |
| 90670 |
|
558 |
558 |
$2K |
| 90686 |
|
1,189 |
1,187 |
$2K |
| 99051 |
|
284 |
282 |
$1K |
| 0071A |
|
39 |
39 |
$1K |
| 94664 |
|
181 |
180 |
$1K |
| 0072A |
|
37 |
37 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
71 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$947.87 |
| 90672 |
|
401 |
401 |
$744.95 |
| 90697 |
|
12 |
12 |
$644.91 |
| 90651 |
|
55 |
55 |
$490.00 |
| 0001A |
|
12 |
12 |
$409.94 |
| 99422 |
|
17 |
15 |
$391.55 |
| 90620 |
|
12 |
12 |
$280.00 |
| 90715 |
|
36 |
36 |
$244.82 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$212.70 |
| 90710 |
|
68 |
68 |
$200.00 |
| 90658 |
|
37 |
37 |
$195.57 |
| 90674 |
|
66 |
66 |
$174.28 |
| 90734 |
|
59 |
59 |
$85.00 |
| 90744 |
|
98 |
97 |
$80.00 |
| 90633 |
|
81 |
81 |
$24.00 |
| 91307 |
|
46 |
42 |
$5.71 |
| 91300 |
|
15 |
15 |
$2.40 |
| 90698 |
|
229 |
229 |
$0.00 |
| 90680 |
|
116 |
116 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
17 |
$0.00 |