| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
8,382 |
7,635 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,686 |
11,543 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,876 |
3,200 |
$76K |
| 99381 |
|
663 |
610 |
$36K |
| 99460 |
|
501 |
494 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,247 |
3,034 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,473 |
4,507 |
$20K |
| 92567 |
|
916 |
892 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
321 |
316 |
$13K |
| 88720 |
|
1,700 |
1,251 |
$7K |
| 90698 |
|
778 |
778 |
$7K |
| 90670 |
|
773 |
773 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,261 |
3,030 |
$6K |
| 90680 |
|
614 |
614 |
$5K |
| 90744 |
|
564 |
564 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,685 |
1,529 |
$4K |
| 99383 |
|
220 |
198 |
$2K |
| 94760 |
|
4,227 |
3,985 |
$1K |
| 90685 |
|
596 |
507 |
$751.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
370 |
346 |
$665.51 |
| 96127 |
|
4,188 |
3,779 |
$614.72 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
464 |
398 |
$597.85 |
| 99382 |
|
48 |
43 |
$486.62 |
| 90633 |
|
43 |
43 |
$315.00 |
| 99173 |
|
7,412 |
6,669 |
$288.19 |
| 99384 |
|
29 |
26 |
$284.88 |
| 90686 |
|
72 |
72 |
$153.00 |
| 90716 |
|
12 |
12 |
$90.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,003 |
7,956 |
$25.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
58 |
$20.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,269 |
1,260 |
$9.72 |
| 81002 |
|
306 |
288 |
$9.18 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,659 |
6,951 |
$1.33 |
| 97802 |
|
6,962 |
6,305 |
$1.19 |
| 3351F |
|
2,392 |
2,238 |
$0.00 |
| 1220F |
|
1,415 |
1,186 |
$0.00 |
| 90461 |
|
7,844 |
4,829 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
50 |
$0.00 |