| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,887 |
10,852 |
$269K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,670 |
8,398 |
$233K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,353 |
5,350 |
$227K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,494 |
5,393 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,843 |
2,841 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,141 |
1,141 |
$51K |
| G9007 |
Coordinated care fee, scheduled team conference |
455 |
454 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
842 |
831 |
$25K |
| H0049 |
Alcohol and/or drug screening |
1,396 |
1,394 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,071 |
1,062 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,117 |
3,079 |
$9K |
| 83655 |
|
955 |
955 |
$8K |
| 96127 |
|
3,603 |
3,600 |
$8K |
| 99442 |
|
776 |
751 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
254 |
249 |
$3K |
| 99173 |
|
3,611 |
3,607 |
$3K |
| 99441 |
|
527 |
513 |
$3K |
| 0001A |
|
83 |
77 |
$3K |
| 0071A |
|
65 |
65 |
$2K |
| 0002A |
|
64 |
64 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
102 |
$1K |
| 90461 |
|
1,181 |
1,178 |
$1K |
| 0072A |
|
30 |
30 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
71 |
$1K |
| 85018 |
|
1,075 |
1,075 |
$826.14 |
| 94760 |
|
1,051 |
1,022 |
$710.93 |
| 97802 |
|
53 |
53 |
$669.49 |
| 90686 |
|
753 |
751 |
$574.05 |
| 90688 |
|
747 |
747 |
$537.89 |
| 99460 |
|
12 |
12 |
$530.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
98 |
$368.92 |
| 36406 |
|
86 |
84 |
$358.78 |
| 99051 |
|
107 |
106 |
$335.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
95 |
$305.84 |
| 90685 |
|
317 |
317 |
$295.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$171.13 |
| 96160 |
|
151 |
151 |
$48.27 |
| 92552 |
|
12 |
12 |
$12.33 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$7.38 |
| 36416 |
|
471 |
469 |
$5.49 |
| 96161 |
|
42 |
41 |
$2.40 |
| 99072 |
|
169 |
169 |
$0.13 |
| 99000 |
|
1,677 |
1,658 |
$0.01 |
| 90723 |
|
1,968 |
1,964 |
$0.00 |
| 90680 |
|
875 |
871 |
$0.00 |
| 90698 |
|
119 |
119 |
$0.00 |
| 90651 |
|
81 |
81 |
$0.00 |
| 90696 |
|
68 |
68 |
$0.00 |
| 91307 |
|
83 |
78 |
$0.00 |
| 90670 |
|
3,161 |
3,153 |
$0.00 |
| 90648 |
|
2,076 |
2,072 |
$0.00 |
| 90710 |
|
431 |
431 |
$0.00 |
| 99080 |
|
613 |
612 |
$0.00 |
| 90734 |
|
101 |
101 |
$0.00 |
| 90633 |
|
818 |
817 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 91300 |
|
87 |
73 |
$0.00 |