| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,066 |
5,701 |
$193K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,301 |
2,252 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,266 |
2,215 |
$166K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,011 |
2,856 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,888 |
1,843 |
$134K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,441 |
5,676 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,254 |
1,241 |
$88K |
| 92552 |
|
3,121 |
3,079 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,409 |
1,338 |
$30K |
| 90461 |
|
2,877 |
2,340 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
562 |
535 |
$7K |
| 99441 |
|
345 |
325 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
848 |
693 |
$6K |
| 99442 |
|
110 |
101 |
$3K |
| 99383 |
|
27 |
27 |
$2K |
| 92550 |
|
115 |
111 |
$2K |
| 99381 |
|
14 |
14 |
$1K |
| 90674 |
|
29 |
29 |
$659.90 |
| 99173 |
|
5,241 |
5,130 |
$535.00 |
| 99080 |
|
123 |
122 |
$398.24 |
| 96160 |
|
205 |
201 |
$392.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
54 |
$354.36 |
| 90620 |
|
211 |
209 |
$176.99 |
| 90734 |
|
446 |
437 |
$138.21 |
| 90688 |
|
16 |
14 |
$135.24 |
| 1036F |
|
437 |
400 |
$0.00 |
| 90680 |
|
421 |
419 |
$0.00 |
| 96127 |
|
294 |
292 |
$0.00 |
| 90686 |
|
2,434 |
2,390 |
$0.00 |
| 90723 |
|
714 |
710 |
$0.00 |
| 1126F |
|
343 |
313 |
$0.00 |
| 90651 |
|
657 |
643 |
$0.00 |
| 1170F |
|
144 |
137 |
$0.00 |
| 3074F |
|
67 |
63 |
$0.00 |
| 1000F |
|
154 |
152 |
$0.00 |
| 90716 |
|
306 |
300 |
$0.00 |
| 1220F |
|
27 |
26 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90707 |
|
304 |
298 |
$0.00 |
| 1159F |
|
515 |
485 |
$0.00 |
| 90633 |
|
309 |
307 |
$0.00 |
| 90715 |
|
34 |
33 |
$0.00 |
| 90670 |
|
1,193 |
1,180 |
$0.00 |
| 90648 |
|
1,191 |
1,175 |
$0.00 |
| 90685 |
|
290 |
288 |
$0.00 |
| 1160F |
|
507 |
479 |
$0.00 |
| 4019F |
|
328 |
310 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
103 |
93 |
$0.00 |
| 3078F |
|
58 |
54 |
$0.00 |
| 90700 |
|
38 |
37 |
$0.00 |