| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,713 |
10,877 |
$450K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,741 |
1,591 |
$131K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,633 |
1,597 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,128 |
1,116 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
878 |
868 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,790 |
2,674 |
$66K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
554 |
469 |
$42K |
| 99000 |
|
4,505 |
4,259 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,751 |
2,697 |
$28K |
| 59430 |
|
209 |
197 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
870 |
414 |
$11K |
| 81003 |
|
5,492 |
3,459 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,087 |
1,073 |
$9K |
| 90461 |
|
1,981 |
1,948 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
604 |
577 |
$5K |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
3,348 |
3,291 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
37 |
37 |
$2K |
| 99460 |
|
25 |
25 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$948.69 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
29 |
$297.50 |
| 81025 |
|
49 |
49 |
$289.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
19 |
$263.91 |
| 90686 |
|
136 |
134 |
$60.02 |
| 96160 |
|
32 |
31 |
$55.11 |
| 82950 |
|
13 |
13 |
$27.93 |
| 90677 |
|
276 |
275 |
$0.23 |
| 90723 |
|
940 |
925 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
421 |
407 |
$0.00 |
| 90680 |
|
851 |
838 |
$0.00 |
| 90651 |
|
71 |
68 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90620 |
|
55 |
54 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
12 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 90633 |
|
309 |
303 |
$0.00 |
| 90670 |
|
927 |
908 |
$0.00 |
| 90648 |
|
1,216 |
1,196 |
$0.00 |
| 90734 |
|
45 |
43 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |
| 90700 |
|
26 |
25 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |