| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,594 |
1,433 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,085 |
980 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
822 |
794 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
244 |
244 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
175 |
174 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
152 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
70 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
382 |
380 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
441 |
409 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
106 |
$4K |
| 92587 |
|
166 |
166 |
$4K |
| 92567 |
|
335 |
333 |
$3K |
| 99401 |
|
174 |
173 |
$2K |
| 99205 |
Prolong outpt/office vis |
17 |
17 |
$2K |
| 99215 |
Prolong outpt/office vis |
26 |
24 |
$2K |
| 99177 |
|
153 |
152 |
$1K |
| 90461 |
|
25 |
25 |
$179.81 |
| 87400 |
|
248 |
240 |
$161.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$128.22 |
| 99173 |
|
161 |
161 |
$119.64 |
| 97802 |
|
49 |
48 |
$25.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
40 |
40 |
$14.00 |
| 99000 |
|
247 |
239 |
$2.38 |