| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,524 |
5,518 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,582 |
4,577 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,886 |
6,507 |
$87K |
| 92552 |
|
9,411 |
9,391 |
$79K |
| G9920 |
Screening performed and negative |
7,350 |
7,291 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,862 |
3,845 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,227 |
1,217 |
$20K |
| 99173 |
|
9,223 |
9,201 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,110 |
3,025 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,059 |
36,059 |
$8K |
| 86580 |
|
4,504 |
4,485 |
$8K |
| 85018 |
|
9,375 |
9,324 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
145 |
$6K |
| 83020 |
|
1,337 |
1,329 |
$6K |
| 83026 |
|
2,596 |
2,588 |
$5K |
| 92551 |
|
3,699 |
3,689 |
$5K |
| 90700 |
|
2,165 |
2,151 |
$5K |
| 90713 |
|
1,600 |
1,584 |
$3K |
| 90656 |
|
2,386 |
2,373 |
$3K |
| 92081 |
|
2,133 |
2,125 |
$3K |
| 81003 |
|
1,176 |
1,163 |
$2K |
| 90648 |
|
1,265 |
1,256 |
$2K |
| 90670 |
|
1,089 |
1,079 |
$2K |
| 90716 |
|
955 |
946 |
$2K |
| 90707 |
|
937 |
927 |
$2K |
| 90686 |
|
417 |
417 |
$2K |
| 90633 |
|
903 |
896 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,696 |
1,631 |
$1K |
| 90620 |
|
874 |
870 |
$1K |
| 90680 |
|
525 |
518 |
$1K |
| 90649 |
|
1,012 |
1,010 |
$1K |
| 90655 |
|
475 |
472 |
$918.00 |
| 90734 |
|
1,051 |
1,044 |
$802.62 |
| 90744 |
|
425 |
417 |
$681.89 |
| 99381 |
|
38 |
37 |
$618.96 |
| 90715 |
|
436 |
434 |
$393.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,403 |
1,378 |
$333.16 |
| 90677 |
|
80 |
80 |
$270.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,244 |
5,119 |
$256.04 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
165 |
$242.00 |
| 81001 |
|
442 |
435 |
$224.68 |
| 90619 |
|
95 |
95 |
$153.00 |
| 90658 |
|
1,319 |
1,319 |
$146.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,128 |
1,107 |
$70.08 |
| 81000 |
|
928 |
899 |
$66.65 |
| 90651 |
|
56 |
56 |
$54.00 |
| 99401 |
|
2,623 |
2,622 |
$22.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
92 |
90 |
$22.35 |
| 92499 |
|
1,970 |
1,969 |
$15.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
143 |
143 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
143 |
143 |
$0.00 |
| 90657 |
|
52 |
52 |
$0.00 |
| 96127 |
|
85 |
84 |
$0.00 |
| 87807 |
|
16 |
16 |
$0.00 |
| 90461 |
|
277 |
274 |
$0.00 |