| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,213 |
3,071 |
$218K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,888 |
1,777 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,411 |
1,393 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
819 |
796 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,181 |
2,092 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,496 |
3,416 |
$73K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,497 |
2,462 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
268 |
265 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,752 |
1,185 |
$16K |
| 99429 |
|
1,350 |
889 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
102 |
$9K |
| 99381 |
|
112 |
108 |
$7K |
| 81002 |
|
1,036 |
1,012 |
$3K |
| 92568 |
|
232 |
227 |
$2K |
| 97802 |
|
867 |
852 |
$745.14 |
| 96127 |
|
106 |
104 |
$618.98 |
| 85018 |
|
161 |
158 |
$441.39 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$189.96 |
| 83655 |
|
27 |
26 |
$180.02 |
| 96161 |
|
200 |
194 |
$128.05 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
30 |
30 |
$15.00 |
| 36416 |
|
144 |
142 |
$7.80 |
| 90680 |
|
912 |
900 |
$0.00 |
| 90698 |
|
1,230 |
1,211 |
$0.00 |
| 90716 |
|
236 |
231 |
$0.00 |
| 90744 |
|
491 |
485 |
$0.00 |
| 90686 |
|
197 |
193 |
$0.00 |
| 90677 |
|
93 |
89 |
$0.00 |
| 90697 |
|
41 |
40 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90670 |
|
1,397 |
1,378 |
$0.00 |
| 90633 |
|
483 |
474 |
$0.00 |
| 90707 |
|
236 |
232 |
$0.00 |