| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,518 |
5,645 |
$277K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,257 |
2,902 |
$161K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,754 |
2,640 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
744 |
732 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
628 |
622 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
812 |
790 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
972 |
953 |
$9K |
| 90686 |
|
787 |
761 |
$8K |
| 90651 |
|
56 |
55 |
$8K |
| 90461 |
|
502 |
471 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
253 |
252 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
112 |
112 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
221 |
$3K |
| 0072A |
|
64 |
64 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
61 |
$2K |
| 0071A |
|
58 |
58 |
$2K |
| 90734 |
|
48 |
48 |
$2K |
| 90716 |
|
14 |
14 |
$244.04 |
| 90656 |
|
73 |
72 |
$208.34 |
| 91307 |
|
130 |
117 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
19 |
19 |
$0.00 |