| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,512 |
4,566 |
$303K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,328 |
3,856 |
$182K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,521 |
4,127 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,091 |
1,075 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,983 |
3,743 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
583 |
572 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
415 |
409 |
$26K |
| 92552 |
|
1,285 |
1,267 |
$16K |
| 90461 |
|
1,056 |
1,031 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
98 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
60 |
$6K |
| 90686 |
|
658 |
648 |
$5K |
| 90670 |
|
112 |
110 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
235 |
231 |
$3K |
| 99173 |
|
829 |
806 |
$3K |
| 99401 |
|
611 |
603 |
$2K |
| 99188 |
|
103 |
103 |
$1K |
| 96127 |
|
386 |
376 |
$1K |
| 90700 |
|
128 |
124 |
$901.73 |
| 0071A |
|
21 |
21 |
$816.41 |
| 90716 |
|
41 |
38 |
$650.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
66 |
$589.06 |
| 97802 |
|
134 |
131 |
$537.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$516.00 |
| 90707 |
|
43 |
40 |
$458.66 |
| 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) |
257 |
230 |
$435.00 |
| 90633 |
|
58 |
57 |
$399.12 |
| 3008F |
|
2,472 |
2,426 |
$394.00 |
| 90713 |
|
47 |
42 |
$367.50 |
| 90656 |
|
140 |
138 |
$270.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$254.20 |
| 97803 |
|
107 |
103 |
$253.76 |
| 90680 |
|
34 |
28 |
$240.02 |
| 90698 |
|
27 |
24 |
$198.88 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
39 |
39 |
$158.08 |
| 90744 |
|
14 |
14 |
$90.76 |
| 99051 |
|
13 |
13 |
$21.72 |
| 99072 |
|
163 |
148 |
$19.62 |
| 91307 |
|
27 |
22 |
$4.00 |
| 91308 |
|
12 |
12 |
$0.01 |