| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,647 |
4,410 |
$290K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,223 |
1,221 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,005 |
967 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,109 |
3,071 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
885 |
883 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
900 |
895 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,072 |
4,017 |
$39K |
| 92081 |
|
2,225 |
2,220 |
$36K |
| 92551 |
|
3,568 |
3,553 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
173 |
171 |
$11K |
| 97802 |
|
3,202 |
3,181 |
$6K |
| 36416 |
|
1,672 |
1,655 |
$6K |
| 81002 |
|
2,162 |
2,152 |
$5K |
| 99490 |
Ccm add 20min |
42 |
40 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
567 |
564 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$946.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$734.98 |
| 85014 |
|
218 |
218 |
$423.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
27 |
$295.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$193.97 |
| 90686 |
|
423 |
422 |
$20.53 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,899 |
1,895 |
$9.00 |
| 83655 |
|
72 |
72 |
$0.65 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
66 |
62 |
$0.30 |
| 90670 |
|
296 |
295 |
$0.00 |
| 90461 |
|
1,483 |
1,476 |
$0.00 |
| 90633 |
|
118 |
118 |
$0.00 |
| 99173 |
|
285 |
285 |
$0.00 |
| 90734 |
|
119 |
119 |
$0.00 |
| 90715 |
|
38 |
38 |
$0.00 |
| 90700 |
|
38 |
38 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90707 |
|
75 |
75 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 90716 |
|
75 |
75 |
$0.00 |
| 90696 |
|
51 |
51 |
$0.00 |
| 90651 |
|
118 |
118 |
$0.00 |
| 90698 |
|
15 |
14 |
$0.00 |
| 90688 |
|
36 |
36 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |