| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,742 |
8,293 |
$556K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,285 |
1,284 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,029 |
1,028 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,183 |
2,141 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
756 |
733 |
$63K |
| 92587 |
|
2,244 |
2,242 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,585 |
1,545 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
743 |
735 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
614 |
612 |
$48K |
| 86403 |
|
5,978 |
5,386 |
$37K |
| 92550 |
|
3,830 |
3,676 |
$36K |
| 87070 |
|
5,976 |
5,386 |
$26K |
| 87184 |
|
6,030 |
5,429 |
$20K |
| 92568 |
|
3,004 |
2,883 |
$19K |
| 90461 |
|
485 |
484 |
$13K |
| 92551 |
|
1,935 |
1,934 |
$11K |
| 69210 |
|
309 |
303 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,041 |
2,039 |
$9K |
| 92015 |
Determination of refractive state |
2,287 |
2,282 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
426 |
305 |
$6K |
| 96127 |
|
1,102 |
1,099 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
246 |
243 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
64 |
$1K |
| 99173 |
|
1,509 |
1,505 |
$1K |
| 85018 |
|
780 |
779 |
$1K |
| 81002 |
|
506 |
501 |
$1K |
| 99381 |
|
13 |
13 |
$870.09 |
| 99441 |
|
33 |
32 |
$690.10 |
| 90686 |
|
277 |
277 |
$204.97 |
| 96160 |
|
167 |
167 |
$203.43 |
| 36415 |
Collection of venous blood by venipuncture |
237 |
237 |
$173.94 |
| 36410 |
|
56 |
55 |
$153.19 |
| 96161 |
|
70 |
70 |
$69.64 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90670 |
|
32 |
32 |
$0.00 |
| 90707 |
|
56 |
56 |
$0.00 |