| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,881 |
22,028 |
$2.51M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,785 |
2,785 |
$302K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,833 |
10,548 |
$273K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,909 |
1,907 |
$229K |
| 92552 |
|
6,405 |
6,405 |
$210K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,708 |
1,698 |
$184K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
865 |
815 |
$86K |
| 90461 |
|
2,013 |
1,996 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
216 |
216 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
87 |
$11K |
| 96150 |
|
1,287 |
1,286 |
$9K |
| 96127 |
|
2,224 |
2,224 |
$7K |
| 97802 |
|
1,299 |
1,298 |
$4K |
| 99173 |
|
5,891 |
5,889 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
29 |
$3K |
| 0072A |
|
77 |
77 |
$3K |
| 90686 |
|
3,156 |
3,151 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,493 |
3,485 |
$3K |
| 0053A |
|
52 |
52 |
$2K |
| 90672 |
|
824 |
824 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
324 |
322 |
$2K |
| 0073A |
|
42 |
42 |
$2K |
| 90620 |
|
322 |
320 |
$2K |
| 0124A |
|
30 |
30 |
$1K |
| 86580 |
|
142 |
141 |
$1K |
| 0071A |
|
26 |
26 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
58 |
$972.25 |
| 90744 |
|
716 |
711 |
$751.39 |
| 90670 |
|
216 |
216 |
$645.99 |
| 90716 |
|
714 |
713 |
$596.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$586.24 |
| 0081A |
|
14 |
14 |
$577.07 |
| 0154A |
|
14 |
14 |
$574.16 |
| 90707 |
|
460 |
460 |
$441.40 |
| 90651 |
|
457 |
456 |
$434.22 |
| 90734 |
|
505 |
505 |
$308.52 |
| 90656 |
|
131 |
131 |
$214.21 |
| 90660 |
|
62 |
62 |
$28.88 |
| 90723 |
|
50 |
50 |
$15.00 |
| 91308 |
|
82 |
77 |
$0.32 |
| 91305 |
|
75 |
75 |
$0.17 |
| 91312 |
|
28 |
28 |
$0.00 |
| 90685 |
|
46 |
46 |
$0.00 |
| 90633 |
|
56 |
56 |
$0.00 |
| 90715 |
|
39 |
39 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
86 |
86 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 91315 |
|
14 |
14 |
$0.00 |
| 91307 |
|
387 |
370 |
$0.00 |
| 90647 |
|
53 |
53 |
$0.00 |
| 3008F |
|
74 |
74 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |