| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,147 |
8,200 |
$356K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,654 |
1,626 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,737 |
1,710 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,797 |
1,773 |
$150K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,587 |
1,540 |
$127K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,278 |
4,115 |
$42K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,492 |
2,428 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
844 |
807 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,275 |
1,224 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
222 |
$6K |
| 90474 |
|
432 |
424 |
$4K |
| 99381 |
|
42 |
40 |
$4K |
| 99000 |
|
341 |
332 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
82 |
82 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |
| 99001 |
|
57 |
56 |
$299.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$124.39 |
| 96160 |
|
33 |
33 |
$67.12 |
| 90658 |
|
625 |
613 |
$41.11 |
| 90686 |
|
204 |
196 |
$38.67 |
| 90697 |
|
567 |
566 |
$0.24 |
| 90619 |
|
76 |
76 |
$0.18 |
| 90677 |
|
243 |
241 |
$0.14 |
| 90734 |
|
456 |
440 |
$0.11 |
| 90620 |
|
53 |
52 |
$0.04 |
| 90715 |
|
138 |
136 |
$0.02 |
| 90633 |
|
614 |
605 |
$0.01 |
| 90648 |
|
319 |
312 |
$0.00 |
| 90649 |
|
575 |
560 |
$0.00 |
| 90710 |
|
482 |
476 |
$0.00 |
| 90670 |
|
1,080 |
1,064 |
$0.00 |
| 90680 |
|
456 |
448 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
576 |
306 |
$0.00 |
| 90723 |
|
286 |
279 |
$0.00 |
| 90696 |
|
78 |
78 |
$0.00 |