| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,336 |
12,081 |
$908K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,565 |
7,904 |
$862K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,080 |
6,806 |
$703K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,370 |
12,779 |
$629K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,544 |
5,219 |
$506K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,600 |
4,461 |
$461K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,240 |
2,147 |
$240K |
| 99381 |
|
1,438 |
1,195 |
$121K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,542 |
7,501 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,439 |
1,354 |
$58K |
| 99383 |
|
256 |
247 |
$29K |
| 99429 |
|
2,026 |
1,428 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,199 |
648 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,137 |
1,099 |
$17K |
| 92551 |
|
6,664 |
6,285 |
$17K |
| 90461 |
|
1,241 |
1,074 |
$17K |
| 90651 |
|
807 |
762 |
$15K |
| 99173 |
|
6,697 |
6,325 |
$15K |
| 99382 |
|
111 |
104 |
$12K |
| 96127 |
|
2,436 |
2,288 |
$10K |
| 85018 |
|
2,731 |
2,605 |
$8K |
| D1206 |
Topical application of fluoride varnish |
346 |
339 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
55 |
$5K |
| 99384 |
|
42 |
39 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
299 |
292 |
$5K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 99051 |
|
55 |
49 |
$1K |
| 90670 |
|
4,143 |
3,965 |
$898.46 |
| 90633 |
|
2,502 |
2,401 |
$632.64 |
| 90716 |
|
933 |
896 |
$495.36 |
| 69210 |
|
13 |
12 |
$482.34 |
| 87807 |
|
30 |
30 |
$474.81 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
152 |
139 |
$307.50 |
| 94664 |
|
16 |
16 |
$266.21 |
| 81002 |
|
81 |
78 |
$259.00 |
| 90707 |
|
873 |
837 |
$216.88 |
| 96160 |
|
95 |
86 |
$114.57 |
| 36416 |
|
2,017 |
1,924 |
$54.50 |
| 90715 |
|
209 |
202 |
$30.90 |
| 90686 |
|
2,198 |
2,134 |
$27.24 |
| 90671 |
|
378 |
348 |
$1.97 |
| 90656 |
|
151 |
147 |
$0.10 |
| 90620 |
|
229 |
219 |
$0.01 |
| 90723 |
|
3,465 |
3,294 |
$0.00 |
| 90647 |
|
3,472 |
3,316 |
$0.00 |
| 90696 |
|
781 |
737 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
711 |
694 |
$0.00 |
| 90660 |
|
36 |
36 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| 90710 |
|
772 |
740 |
$0.00 |
| 90681 |
|
1,907 |
1,793 |
$0.00 |
| 90655 |
|
60 |
59 |
$0.00 |
| 90700 |
|
865 |
840 |
$0.00 |
| 90734 |
|
761 |
727 |
$0.00 |
| 90685 |
|
135 |
135 |
$0.00 |
| 99072 |
|
39 |
37 |
$0.00 |
| 90649 |
|
80 |
33 |
$0.00 |