| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,594 |
2,366 |
$257K |
| 99215 |
Prolong outpt/office vis |
1,173 |
1,112 |
$180K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,860 |
1,554 |
$31K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
855 |
782 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
369 |
363 |
$15K |
| 94760 |
|
3,852 |
3,300 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
581 |
576 |
$15K |
| 92081 |
|
412 |
400 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,038 |
1,012 |
$14K |
| D1206 |
Topical application of fluoride varnish |
654 |
647 |
$12K |
| 92551 |
|
586 |
573 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
145 |
143 |
$6K |
| 86580 |
|
598 |
585 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
177 |
85 |
$3K |
| 97803 |
|
82 |
72 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
54 |
$2K |
| 81002 |
|
502 |
491 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$1K |
| 85018 |
|
293 |
286 |
$922.45 |
| 96150 |
|
47 |
47 |
$905.53 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
93 |
92 |
$567.30 |
| 99173 |
|
83 |
81 |
$349.55 |
| 99070 |
|
84 |
78 |
$222.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
30 |
$214.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$189.17 |
| 90620 |
|
13 |
13 |
$183.18 |
| 90686 |
|
457 |
457 |
$123.30 |
| S9470 |
Nutritional counseling, dietitian visit |
237 |
217 |
$82.55 |
| 99050 |
|
15 |
15 |
$56.25 |
| 90700 |
|
162 |
153 |
$0.00 |
| 90670 |
|
71 |
68 |
$0.00 |
| 90685 |
|
65 |
64 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
42 |
41 |
$0.00 |
| 90713 |
|
55 |
55 |
$0.00 |
| 90648 |
|
21 |
21 |
$0.00 |
| 99058 |
|
791 |
741 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |