| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,722 |
7,420 |
$447K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,983 |
4,328 |
$384K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,023 |
1,853 |
$177K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,763 |
1,580 |
$152K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,865 |
1,606 |
$150K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
951 |
882 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,592 |
4,101 |
$28K |
| 97802 |
|
2,406 |
2,170 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
888 |
821 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,963 |
1,743 |
$5K |
| 90686 |
|
1,301 |
1,068 |
$4K |
| 85018 |
|
4,702 |
4,311 |
$3K |
| 99381 |
|
29 |
25 |
$2K |
| 81000 |
|
225 |
201 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
592 |
493 |
$1K |
| 36416 |
|
139 |
115 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
25 |
$841.08 |
| 90648 |
|
1,541 |
1,286 |
$682.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,770 |
2,287 |
$624.04 |
| 90685 |
|
246 |
172 |
$508.12 |
| 90633 |
|
1,039 |
867 |
$303.87 |
| 90696 |
|
139 |
124 |
$264.08 |
| 90651 |
|
222 |
205 |
$237.91 |
| 90670 |
|
1,477 |
1,252 |
$194.00 |
| 90681 |
|
499 |
430 |
$123.90 |
| 90723 |
|
1,106 |
931 |
$110.00 |
| 90700 |
|
103 |
63 |
$72.03 |
| 90620 |
|
59 |
57 |
$68.02 |
| 90715 |
|
89 |
89 |
$48.92 |
| 90734 |
|
327 |
279 |
$44.55 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,207 |
1,922 |
$41.51 |
| 90710 |
|
680 |
555 |
$10.00 |
| Q3014 |
Telehealth originating site facility fee |
68 |
63 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |
| 99173 |
|
68 |
63 |
$0.00 |