| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,872 |
5,286 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,590 |
1,545 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,568 |
2,498 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,315 |
1,294 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,852 |
1,719 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,222 |
1,200 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,564 |
1,454 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,056 |
956 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,854 |
2,792 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,427 |
1,413 |
$27K |
| 92552 |
|
3,540 |
3,468 |
$17K |
| 90461 |
|
1,412 |
1,391 |
$14K |
| 3008F |
|
3,774 |
3,690 |
$11K |
| 90686 |
|
617 |
591 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
877 |
835 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
56 |
$3K |
| 92081 |
|
375 |
375 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
792 |
766 |
$2K |
| 0002A |
|
51 |
49 |
$2K |
| 0071A |
|
73 |
54 |
$2K |
| 0001A |
|
46 |
46 |
$2K |
| 90734 |
|
56 |
51 |
$2K |
| 99173 |
|
2,567 |
2,508 |
$2K |
| 99383 |
|
28 |
28 |
$1K |
| 99172 |
|
291 |
291 |
$1K |
| 96127 |
|
1,687 |
1,618 |
$1K |
| 90621 |
|
12 |
12 |
$629.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,088 |
1,039 |
$532.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
50 |
$437.54 |
| 99441 |
|
15 |
15 |
$297.78 |
| 99177 |
|
418 |
407 |
$275.78 |
| 99201 |
|
16 |
16 |
$270.52 |
| 90688 |
|
12 |
12 |
$192.09 |
| 97802 |
|
3,817 |
3,747 |
$181.55 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
25 |
25 |
$23.43 |
| 96161 |
|
143 |
114 |
$7.84 |
| 91307 |
|
82 |
54 |
$3.00 |
| 99072 |
|
511 |
449 |
$0.00 |
| 91300 |
|
94 |
87 |
$0.00 |
| 99000 |
|
552 |
496 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
41 |
41 |
$0.00 |