| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,729 |
4,281 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,793 |
1,672 |
$172K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,042 |
1,035 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
169 |
169 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
154 |
$14K |
| 99215 |
Prolong outpt/office vis |
83 |
75 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
433 |
396 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
391 |
390 |
$6K |
| 96127 |
|
692 |
676 |
$3K |
| 96160 |
|
1,153 |
1,153 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
363 |
347 |
$3K |
| H0049 |
Alcohol and/or drug screening |
82 |
82 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
159 |
159 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$971.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$861.36 |
| 92551 |
|
90 |
90 |
$710.29 |
| G9920 |
Screening performed and negative |
14 |
14 |
$490.00 |
| 0072A |
|
12 |
12 |
$480.00 |
| 94060 |
|
12 |
12 |
$472.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$422.10 |
| 99173 |
|
63 |
63 |
$148.73 |