| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,734 |
10,883 |
$920K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,517 |
1,517 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,351 |
1,278 |
$137K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,947 |
4,886 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,364 |
1,362 |
$122K |
| 92551 |
|
4,317 |
4,311 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
446 |
446 |
$40K |
| 86403 |
|
1,128 |
1,076 |
$11K |
| 96127 |
|
1,783 |
1,783 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
507 |
477 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
741 |
739 |
$6K |
| 99429 |
|
497 |
495 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
64 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
384 |
380 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
144 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
150 |
150 |
$3K |
| 0072A |
|
64 |
64 |
$2K |
| 0071A |
|
57 |
57 |
$2K |
| 96160 |
|
568 |
568 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
29 |
$569.54 |
| 99173 |
|
2,553 |
2,547 |
$552.68 |
| 81002 |
|
195 |
190 |
$497.34 |
| 94760 |
|
1,083 |
990 |
$436.48 |
| 94667 |
|
16 |
15 |
$346.64 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$203.20 |
| 99050 |
|
50 |
48 |
$154.28 |
| 90686 |
|
1,883 |
1,882 |
$68.54 |
| 90461 |
|
271 |
267 |
$30.59 |
| 94761 |
|
29 |
27 |
$4.44 |
| 91307 |
|
202 |
192 |
$0.12 |
| 90619 |
|
57 |
57 |
$0.01 |
| 3008F |
|
81 |
81 |
$0.00 |
| 91305 |
|
25 |
25 |
$0.00 |
| 2010F |
|
81 |
81 |
$0.00 |
| 90651 |
|
55 |
55 |
$0.00 |
| 90677 |
|
28 |
27 |
$0.00 |
| 90654 |
|
67 |
67 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |
| 1220F |
|
14 |
14 |
$0.00 |
| 4293F |
|
14 |
14 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90734 |
|
55 |
55 |
$0.00 |
| 90670 |
|
63 |
63 |
$0.00 |
| 99072 |
|
289 |
276 |
$0.00 |
| 3016F |
|
14 |
14 |
$0.00 |
| 91300 |
|
15 |
15 |
$0.00 |