| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,129 |
8,355 |
$580K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,475 |
3,445 |
$293K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,388 |
3,324 |
$233K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,492 |
7,274 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,525 |
1,503 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,367 |
1,311 |
$129K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,596 |
7,538 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,967 |
1,885 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
661 |
653 |
$58K |
| 99442 |
|
281 |
270 |
$14K |
| 99383 |
|
44 |
44 |
$4K |
| 99381 |
|
39 |
39 |
$3K |
| 92551 |
|
309 |
308 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
196 |
104 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
92 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 98966 |
|
419 |
397 |
$740.40 |
| 87634 |
|
19 |
17 |
$473.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$284.30 |
| 81002 |
|
54 |
52 |
$134.12 |
| 99188 |
|
21 |
17 |
$117.81 |
| 1159F |
|
11,554 |
10,481 |
$0.83 |
| 1160F |
|
11,551 |
10,478 |
$0.83 |
| G9007 |
Coordinated care fee, scheduled team conference |
571 |
529 |
$0.29 |
| G9002 |
Coordinated care fee, maintenance rate |
344 |
332 |
$0.09 |
| 1031F |
|
10,271 |
9,344 |
$0.05 |
| 1033F |
|
8,803 |
7,977 |
$0.03 |
| 1000F |
|
1,619 |
1,519 |
$0.02 |
| 90698 |
|
2,088 |
2,072 |
$0.00 |
| 90716 |
|
1,048 |
1,041 |
$0.00 |
| 90688 |
|
611 |
606 |
$0.00 |
| 4140F |
|
636 |
549 |
$0.00 |
| 90744 |
|
1,512 |
1,496 |
$0.00 |
| 90680 |
|
1,554 |
1,542 |
$0.00 |
| 1036F |
|
1,574 |
1,475 |
$0.00 |
| 90677 |
|
368 |
368 |
$0.00 |
| 90696 |
|
175 |
174 |
$0.00 |
| 4037F |
|
201 |
198 |
$0.00 |
| 90686 |
|
497 |
496 |
$0.00 |
| 90619 |
|
81 |
81 |
$0.00 |
| 1111F |
|
428 |
393 |
$0.00 |
| 90651 |
|
230 |
227 |
$0.00 |
| 90656 |
|
89 |
89 |
$0.00 |
| 90461 |
|
2,810 |
2,751 |
$0.00 |
| 90700 |
|
447 |
439 |
$0.00 |
| 90633 |
|
1,314 |
1,303 |
$0.00 |
| 90670 |
|
2,275 |
2,246 |
$0.00 |
| 4025F |
|
2,050 |
1,797 |
$0.00 |
| 99173 |
|
215 |
215 |
$0.00 |
| 90648 |
|
96 |
92 |
$0.00 |
| D0190 |
|
353 |
353 |
$0.00 |
| 4040F |
|
11,716 |
10,675 |
$0.00 |
| 90707 |
|
1,064 |
1,056 |
$0.00 |
| 90734 |
|
123 |
119 |
$0.00 |
| 1032F |
|
1,163 |
1,108 |
$0.00 |
| 90715 |
|
74 |
74 |
$0.00 |
| 99072 |
|
34 |
32 |
$0.00 |
| 90685 |
|
93 |
90 |
$0.00 |
| 3725F |
|
32 |
32 |
$0.00 |