| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,653 |
17,347 |
$482K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,582 |
6,510 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,552 |
7,332 |
$120K |
| 92552 |
|
9,739 |
9,733 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,499 |
5,341 |
$114K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,405 |
13,202 |
$109K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,844 |
4,776 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,061 |
3,725 |
$78K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,071 |
6,016 |
$76K |
| 86580 |
|
12,277 |
12,267 |
$45K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,047 |
7,042 |
$37K |
| 99173 |
|
9,196 |
9,186 |
$24K |
| 97802 |
|
15,714 |
15,383 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
12,035 |
11,759 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
463 |
450 |
$9K |
| 36406 |
|
1,519 |
1,497 |
$7K |
| 90651 |
|
1,388 |
1,388 |
$6K |
| 90686 |
|
5,553 |
5,546 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
717 |
712 |
$3K |
| 90715 |
|
557 |
556 |
$2K |
| 90697 |
|
51 |
51 |
$2K |
| 90734 |
|
1,092 |
1,092 |
$2K |
| 99381 |
|
80 |
80 |
$2K |
| 90716 |
|
1,213 |
1,212 |
$2K |
| 90620 |
|
334 |
333 |
$860.00 |
| 90707 |
|
1,051 |
1,050 |
$774.78 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$708.67 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35 |
35 |
$446.40 |
| 90633 |
|
1,381 |
1,379 |
$364.13 |
| 90744 |
|
789 |
788 |
$203.75 |
| 90621 |
|
84 |
84 |
$200.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$39.33 |
| 90670 |
|
2,001 |
1,996 |
$17.85 |
| 90680 |
|
1,330 |
1,326 |
$17.85 |
| 90698 |
|
1,395 |
1,391 |
$17.85 |
| 4306F |
|
771 |
770 |
$2.29 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,324 |
5,318 |
$0.63 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,030 |
4,025 |
$0.09 |
| 90685 |
|
544 |
540 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 4004F |
|
787 |
786 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 99080 |
|
99 |
62 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 4293F |
|
787 |
786 |
$0.00 |
| 1220F |
|
788 |
787 |
$0.00 |
| 90696 |
|
129 |
129 |
$0.00 |