| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,337 |
5,812 |
$350K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,918 |
5,170 |
$177K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,564 |
1,834 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,162 |
1,389 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,455 |
1,743 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,079 |
4,105 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,130 |
747 |
$58K |
| 99443 |
|
268 |
200 |
$4K |
| 99381 |
|
79 |
65 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
72 |
$2K |
| 90670 |
|
1,706 |
1,038 |
$2K |
| 99442 |
|
159 |
99 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
52 |
$955.57 |
| 90671 |
|
73 |
62 |
$312.08 |
| 92552 |
|
173 |
165 |
$292.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
105 |
$287.68 |
| 90461 |
|
2,686 |
1,216 |
$252.00 |
| 90633 |
|
445 |
353 |
$241.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
14 |
$199.92 |
| 90715 |
|
91 |
84 |
$134.64 |
| 90651 |
|
483 |
284 |
$130.00 |
| 97802 |
|
243 |
179 |
$100.20 |
| 90723 |
|
255 |
189 |
$72.02 |
| 90700 |
|
94 |
91 |
$61.62 |
| 90681 |
|
322 |
211 |
$50.00 |
| 90756 |
|
16 |
15 |
$41.34 |
| 99051 |
|
27 |
26 |
$22.71 |
| 90620 |
|
113 |
42 |
$20.00 |
| 90710 |
|
364 |
286 |
$10.00 |
| 90648 |
|
526 |
361 |
$10.00 |
| 85018 |
|
13 |
12 |
$9.72 |
| 81002 |
|
53 |
42 |
$6.69 |
| 90621 |
|
76 |
76 |
$0.00 |
| 90734 |
|
133 |
92 |
$0.00 |
| 99173 |
|
741 |
484 |
$0.00 |
| 90698 |
|
105 |
102 |
$0.00 |
| 90697 |
|
79 |
69 |
$0.00 |
| 90688 |
|
114 |
37 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
197 |
138 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
952 |
777 |
$0.00 |
| 90696 |
|
82 |
69 |
$0.00 |
| 90677 |
|
71 |
66 |
$0.00 |
| 90744 |
|
31 |
31 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
17 |
$0.00 |
| 90686 |
|
22 |
16 |
$0.00 |