| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,041 |
6,076 |
$336K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,787 |
1,730 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,690 |
1,573 |
$118K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,054 |
3,890 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
927 |
893 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
826 |
798 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
686 |
589 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,925 |
3,789 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
179 |
175 |
$17K |
| 99050 |
|
1,959 |
1,826 |
$15K |
| 90461 |
|
540 |
498 |
$12K |
| 3008F |
|
554 |
475 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
298 |
148 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
269 |
263 |
$2K |
| 90670 |
|
116 |
71 |
$732.20 |
| 99174 |
|
353 |
328 |
$687.43 |
| 90686 |
|
86 |
50 |
$377.85 |
| 90672 |
|
13 |
13 |
$260.70 |
| 90707 |
|
49 |
45 |
$222.00 |
| 90716 |
|
35 |
27 |
$197.40 |
| 90651 |
|
37 |
25 |
$162.97 |
| 92587 |
|
12 |
12 |
$101.84 |
| 90723 |
|
58 |
56 |
$90.05 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,279 |
1,206 |
$73.85 |
| 90633 |
|
55 |
40 |
$46.72 |
| 99177 |
|
24 |
24 |
$41.65 |
| 90696 |
|
17 |
17 |
$37.61 |
| 90648 |
|
92 |
57 |
$19.64 |
| 97803 |
|
14 |
14 |
$0.00 |
| 97802 |
|
1,889 |
1,816 |
$0.00 |
| 99058 |
|
12 |
12 |
$0.00 |