| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,369 |
11,469 |
$1.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,657 |
2,358 |
$319K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,782 |
2,636 |
$288K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,547 |
2,302 |
$244K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,014 |
1,923 |
$211K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,014 |
951 |
$115K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,466 |
7,660 |
$70K |
| 92551 |
|
4,543 |
4,292 |
$42K |
| 90648 |
|
1,843 |
1,747 |
$40K |
| 90670 |
|
1,479 |
1,400 |
$35K |
| 90723 |
|
1,401 |
1,317 |
$31K |
| 90677 |
|
367 |
348 |
$28K |
| 90633 |
|
947 |
894 |
$21K |
| 90707 |
|
879 |
817 |
$19K |
| 90716 |
|
809 |
762 |
$18K |
| 99381 |
|
147 |
127 |
$14K |
| 90681 |
|
580 |
555 |
$13K |
| 90686 |
|
617 |
571 |
$13K |
| 99173 |
|
4,631 |
4,385 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,176 |
3,866 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
566 |
321 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,706 |
2,522 |
$7K |
| 90734 |
|
313 |
287 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
493 |
462 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
88 |
$6K |
| 90696 |
|
217 |
202 |
$5K |
| 90700 |
|
111 |
110 |
$3K |
| 90651 |
|
95 |
90 |
$2K |
| 90715 |
|
87 |
85 |
$2K |
| 99442 |
|
120 |
82 |
$2K |
| 99383 |
|
19 |
12 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
60 |
55 |
$966.69 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$598.08 |
| 99051 |
|
23 |
18 |
$195.38 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
321 |
307 |
$139.50 |
| 36416 |
|
546 |
492 |
$84.00 |
| 84030 |
|
14 |
14 |
$62.42 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$18.00 |
| 90474 |
|
57 |
56 |
$0.00 |