| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,476 |
5,386 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,910 |
3,329 |
$145K |
| 96156 |
|
3,663 |
3,626 |
$139K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,142 |
1,128 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,010 |
1,004 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
866 |
860 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
512 |
501 |
$44K |
| 92552 |
|
2,835 |
2,806 |
$17K |
| 99173 |
|
2,841 |
2,816 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
604 |
572 |
$7K |
| 99441 |
|
182 |
178 |
$7K |
| 86703 |
|
164 |
163 |
$3K |
| 90670 |
|
232 |
229 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 99443 |
|
40 |
38 |
$2K |
| 96160 |
|
1,055 |
1,049 |
$1K |
| 90688 |
|
102 |
102 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
239 |
238 |
$995.76 |
| G0008 |
Administration of influenza virus vaccine |
90 |
89 |
$883.88 |
| 90715 |
|
97 |
97 |
$782.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
444 |
416 |
$636.42 |
| 90633 |
|
62 |
62 |
$624.85 |
| 96127 |
|
757 |
754 |
$534.80 |
| 90696 |
|
53 |
53 |
$517.00 |
| 90658 |
|
48 |
47 |
$505.28 |
| 90734 |
|
67 |
67 |
$464.00 |
| 90710 |
|
55 |
55 |
$455.00 |
| 90619 |
|
12 |
12 |
$358.00 |
| 90700 |
|
37 |
36 |
$352.00 |
| 90686 |
|
32 |
32 |
$352.00 |
| 90698 |
|
39 |
38 |
$340.00 |
| 90648 |
|
37 |
36 |
$286.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$173.25 |
| 80061 |
Lipid panel |
29 |
29 |
$156.27 |
| 96161 |
|
240 |
235 |
$154.23 |
| 90744 |
|
12 |
12 |
$132.00 |
| 83655 |
|
28 |
28 |
$22.00 |
| 3008F |
|
165 |
163 |
$0.00 |