| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,572 |
4,971 |
$373K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,525 |
2,380 |
$248K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,215 |
1,197 |
$119K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,694 |
3,610 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,075 |
1,066 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,050 |
1,031 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
789 |
778 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
989 |
956 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
206 |
205 |
$21K |
| 90461 |
|
981 |
959 |
$20K |
| G9153 |
Mapcp demonstration - physician incentive pool |
392 |
388 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,125 |
2,102 |
$16K |
| 99384 |
|
101 |
100 |
$13K |
| 83655 |
|
690 |
679 |
$10K |
| 96127 |
|
1,238 |
1,219 |
$8K |
| 99383 |
|
74 |
71 |
$8K |
| 99381 |
|
83 |
81 |
$8K |
| 85018 |
|
2,685 |
2,632 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
813 |
812 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
205 |
199 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
336 |
327 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 81002 |
|
495 |
479 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
54 |
$996.05 |
| 96160 |
|
181 |
181 |
$920.19 |
| 99050 |
|
70 |
68 |
$758.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$149.16 |
| 92551 |
|
2,960 |
2,869 |
$116.16 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$39.88 |
| 90677 |
|
135 |
133 |
$0.44 |
| 90655 |
|
164 |
162 |
$0.30 |
| 90670 |
|
350 |
346 |
$0.07 |
| 90680 |
|
135 |
134 |
$0.06 |
| 90715 |
|
31 |
31 |
$0.05 |
| 90700 |
|
17 |
17 |
$0.04 |
| 90647 |
|
12 |
12 |
$0.03 |
| 90674 |
|
73 |
66 |
$0.02 |
| 90698 |
|
207 |
207 |
$0.01 |
| 90656 |
|
314 |
306 |
$0.01 |
| 90734 |
|
88 |
86 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
352 |
323 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
220 |
211 |
$0.00 |
| 99173 |
|
599 |
590 |
$0.00 |
| 90649 |
|
49 |
49 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 90744 |
|
102 |
102 |
$0.00 |
| 90634 |
|
38 |
35 |
$0.00 |