| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,928 |
7,354 |
$402K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,268 |
3,648 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,267 |
1,789 |
$149K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,607 |
1,214 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,684 |
1,350 |
$94K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,695 |
4,293 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
743 |
584 |
$45K |
| 90461 |
|
2,131 |
1,482 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
237 |
216 |
$8K |
| 97803 |
|
2,179 |
1,725 |
$8K |
| 90670 |
|
1,090 |
817 |
$5K |
| 90633 |
|
671 |
468 |
$3K |
| 99383 |
|
99 |
40 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
193 |
127 |
$2K |
| 90698 |
|
891 |
651 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
454 |
369 |
$2K |
| 90651 |
|
186 |
114 |
$2K |
| 90734 |
|
174 |
98 |
$947.88 |
| 90710 |
|
96 |
29 |
$732.88 |
| 99188 |
|
414 |
196 |
$657.18 |
| 90740 |
|
53 |
50 |
$533.87 |
| 97802 |
|
199 |
71 |
$434.50 |
| 87428 |
|
14 |
14 |
$301.04 |
| 85018 |
|
1,590 |
1,162 |
$241.59 |
| 90686 |
|
401 |
370 |
$237.21 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,578 |
3,658 |
$156.65 |
| 83655 |
|
296 |
201 |
$95.46 |
| D0191 |
|
27 |
26 |
$94.05 |
| 90696 |
|
92 |
38 |
$56.18 |
| 90715 |
|
54 |
32 |
$48.01 |
| 90707 |
|
14 |
12 |
$20.00 |
| 92551 |
|
1,475 |
1,241 |
$0.00 |
| 90680 |
|
456 |
314 |
$0.00 |
| 90744 |
|
73 |
36 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |
| 96127 |
|
210 |
176 |
$0.00 |
| 90620 |
|
45 |
39 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
138 |
135 |
$0.00 |
| 99173 |
|
1,487 |
1,238 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
152 |
$0.00 |
| 99177 |
|
26 |
22 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
132 |
127 |
$0.00 |
| 90685 |
|
15 |
12 |
$0.00 |