| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,870 |
4,975 |
$195K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,278 |
1,251 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
987 |
893 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
550 |
538 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
322 |
292 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
296 |
256 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
548 |
511 |
$19K |
| 92551 |
|
1,266 |
1,219 |
$17K |
| 92552 |
|
854 |
791 |
$9K |
| 99173 |
|
2,210 |
2,010 |
$7K |
| 90670 |
|
639 |
627 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
286 |
279 |
$7K |
| 90647 |
|
594 |
584 |
$7K |
| 90686 |
|
486 |
470 |
$5K |
| 90633 |
|
247 |
243 |
$3K |
| 81000 |
|
1,367 |
1,261 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
125 |
120 |
$2K |
| 90723 |
|
203 |
197 |
$2K |
| 99383 |
|
37 |
32 |
$2K |
| 90680 |
|
165 |
164 |
$2K |
| 90700 |
|
134 |
131 |
$1K |
| 99382 |
|
26 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |
| 81003 |
|
773 |
656 |
$1K |
| 90651 |
|
70 |
69 |
$765.00 |
| 99381 |
|
12 |
12 |
$679.92 |
| 90707 |
|
55 |
55 |
$654.74 |
| 90688 |
|
47 |
46 |
$550.31 |
| 90716 |
|
44 |
44 |
$495.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
53 |
$424.80 |
| 90696 |
|
26 |
26 |
$292.50 |
| 90734 |
|
22 |
21 |
$236.25 |
| 90715 |
|
17 |
17 |
$191.25 |
| 90649 |
|
14 |
14 |
$157.50 |
| 90713 |
|
12 |
12 |
$149.78 |
| 90710 |
|
12 |
12 |
$135.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$134.16 |
| 86580 |
|
38 |
38 |
$127.68 |
| 96160 |
|
13 |
13 |
$68.51 |
| 85018 |
|
32 |
30 |
$49.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |
| 99050 |
|
24 |
17 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
13 |
$0.00 |