| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,025 |
11,271 |
$578K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,030 |
3,458 |
$240K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,301 |
10,212 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,654 |
2,468 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,581 |
1,384 |
$102K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,933 |
5,709 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,258 |
1,118 |
$87K |
| 99490 |
Ccm add 20min |
3,234 |
3,138 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
898 |
758 |
$50K |
| 99383 |
|
278 |
233 |
$19K |
| 96127 |
|
3,362 |
3,158 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,351 |
1,240 |
$10K |
| 99382 |
|
133 |
94 |
$9K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
115 |
77 |
$6K |
| 83655 |
|
782 |
716 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
768 |
697 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
86 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
112 |
111 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
87 |
$3K |
| 85018 |
|
1,475 |
1,301 |
$2K |
| 87807 |
|
257 |
242 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
286 |
271 |
$1K |
| 0072A |
|
43 |
25 |
$940.17 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
55 |
55 |
$868.51 |
| 96160 |
|
195 |
191 |
$570.30 |
| 0071A |
|
27 |
14 |
$566.16 |
| 69210 |
|
43 |
27 |
$559.20 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
19 |
$506.40 |
| 0001A |
|
25 |
25 |
$481.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$352.93 |
| 90461 |
|
13 |
13 |
$201.91 |
| 69209 |
|
17 |
14 |
$118.90 |
| 90744 |
|
411 |
243 |
$97.26 |
| 90670 |
|
1,355 |
1,027 |
$76.60 |
| 90686 |
|
4,509 |
3,500 |
$35.76 |
| 81002 |
|
111 |
109 |
$35.15 |
| 90710 |
|
661 |
482 |
$33.72 |
| 90680 |
|
31 |
12 |
$18.82 |
| 90698 |
|
547 |
363 |
$16.94 |
| 90633 |
|
1,226 |
910 |
$16.94 |
| 91307 |
|
81 |
49 |
$0.00 |
| 90696 |
|
41 |
41 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 90656 |
|
85 |
85 |
$0.00 |
| 90649 |
|
374 |
333 |
$0.00 |
| 90734 |
|
158 |
146 |
$0.00 |
| 90672 |
|
181 |
153 |
$0.00 |
| 90681 |
|
19 |
15 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 91300 |
|
28 |
28 |
$0.00 |
| 90700 |
|
112 |
53 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |