| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,744 |
6,756 |
$141K |
| 96156 |
|
4,616 |
4,552 |
$130K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,765 |
1,728 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,814 |
1,730 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,637 |
1,599 |
$61K |
| G9920 |
Screening performed and negative |
3,006 |
2,961 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,241 |
2,151 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,017 |
1,010 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
965 |
897 |
$40K |
| 92551 |
|
2,375 |
2,364 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,789 |
1,810 |
$18K |
| 97803 |
|
931 |
926 |
$16K |
| 96151 |
|
1,147 |
1,121 |
$13K |
| 85018 |
|
4,731 |
4,632 |
$10K |
| 83655 |
|
710 |
662 |
$10K |
| 92552 |
|
975 |
949 |
$9K |
| 90670 |
|
633 |
619 |
$5K |
| 90686 |
|
1,033 |
1,010 |
$5K |
| 81000 |
|
2,187 |
2,170 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
652 |
609 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
300 |
276 |
$4K |
| 99188 |
|
430 |
428 |
$3K |
| 99173 |
|
1,944 |
1,928 |
$3K |
| 96127 |
|
674 |
666 |
$3K |
| 0072A |
|
52 |
52 |
$2K |
| 90651 |
|
458 |
453 |
$2K |
| 0071A |
|
50 |
50 |
$2K |
| 90680 |
|
206 |
206 |
$2K |
| 0001A |
|
34 |
34 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
274 |
254 |
$1K |
| 90700 |
|
216 |
210 |
$1K |
| 0002A |
|
28 |
28 |
$1K |
| 90648 |
|
135 |
131 |
$1K |
| 90671 |
|
121 |
119 |
$889.57 |
| 90633 |
|
170 |
168 |
$873.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
476 |
438 |
$836.58 |
| 90685 |
|
157 |
155 |
$774.00 |
| 90744 |
|
86 |
86 |
$756.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
92 |
$742.00 |
| 96150 |
|
49 |
47 |
$595.56 |
| 0003A |
|
12 |
12 |
$480.00 |
| 86580 |
|
285 |
273 |
$448.36 |
| 90461 |
|
416 |
309 |
$307.04 |
| 90620 |
|
26 |
26 |
$278.03 |
| 36416 |
|
166 |
153 |
$255.00 |
| 90710 |
|
44 |
44 |
$225.00 |
| 90697 |
|
30 |
30 |
$225.00 |
| 90619 |
|
63 |
63 |
$216.00 |
| 90713 |
|
31 |
31 |
$198.00 |
| 81002 |
|
77 |
77 |
$189.82 |
| 90734 |
|
45 |
45 |
$180.00 |
| 90698 |
|
18 |
18 |
$162.00 |
| 90688 |
|
38 |
37 |
$108.00 |
| 90707 |
|
28 |
28 |
$90.00 |
| 90696 |
|
24 |
24 |
$81.00 |
| 90716 |
|
28 |
28 |
$81.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
109 |
108 |
$62.80 |
| 90715 |
|
18 |
18 |
$27.00 |
| 85999 |
|
146 |
144 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 81001 |
|
146 |
144 |
$0.00 |