| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99381 |
|
13,166 |
13,034 |
$889K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,146 |
10,269 |
$259K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,602 |
3,489 |
$234K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,633 |
1,599 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
958 |
934 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,001 |
972 |
$68K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,888 |
5,703 |
$37K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,665 |
2,897 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
857 |
720 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,336 |
980 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
447 |
421 |
$8K |
| 90474 |
|
325 |
318 |
$2K |
| 99441 |
|
57 |
57 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
76 |
$1K |
| 96160 |
|
723 |
701 |
$783.05 |
| 90677 |
|
339 |
326 |
$482.48 |
| 90686 |
|
2,671 |
2,601 |
$336.07 |
| 0012A |
|
15 |
15 |
$298.24 |
| 86703 |
|
251 |
199 |
$260.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$219.27 |
| 86580 |
|
41 |
40 |
$212.34 |
| 0011A |
|
16 |
16 |
$164.30 |
| 90656 |
|
200 |
199 |
$138.89 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
28 |
$138.24 |
| 11721 |
|
15 |
13 |
$18.71 |
| 90648 |
|
389 |
387 |
$0.01 |
| 90671 |
|
68 |
68 |
$0.01 |
| 90723 |
|
191 |
189 |
$0.01 |
| 90670 |
|
888 |
855 |
$0.00 |
| 90681 |
|
71 |
69 |
$0.00 |
| 90633 |
|
133 |
133 |
$0.00 |
| 96161 |
|
81 |
73 |
$0.00 |
| 90680 |
|
202 |
197 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90697 |
|
325 |
308 |
$0.00 |
| 90651 |
|
51 |
51 |
$0.00 |