| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,776 |
4,997 |
$263K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,480 |
3,239 |
$246K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,240 |
3,161 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
736 |
724 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,784 |
3,599 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
595 |
594 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,378 |
1,262 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
290 |
284 |
$20K |
| 86580 |
|
1,791 |
1,766 |
$15K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
882 |
821 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
489 |
219 |
$7K |
| 85018 |
|
1,564 |
1,544 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
53 |
$4K |
| 81003 |
|
1,954 |
1,862 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 81025 |
|
220 |
204 |
$1K |
| 99173 |
|
290 |
283 |
$1K |
| 96127 |
|
447 |
447 |
$1K |
| 97802 |
|
123 |
121 |
$670.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
112 |
107 |
$636.58 |
| 93000 |
|
25 |
25 |
$504.57 |
| 96160 |
|
474 |
473 |
$171.83 |
| 92555 |
|
31 |
28 |
$89.92 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
647 |
628 |
$72.00 |
| 90686 |
|
1,577 |
1,553 |
$42.35 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$1.35 |
| 97803 |
|
56 |
54 |
$0.13 |
| 3008F |
|
196 |
181 |
$0.01 |
| 2010F |
|
633 |
549 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 2001F |
|
53 |
46 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90700 |
|
211 |
206 |
$0.00 |
| 90734 |
|
66 |
66 |
$0.00 |
| 90713 |
|
114 |
111 |
$0.00 |
| 90670 |
|
71 |
68 |
$0.00 |
| 90649 |
|
74 |
72 |
$0.00 |
| 90648 |
|
85 |
84 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |