| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,140 |
7,266 |
$465K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,189 |
3,894 |
$406K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,526 |
2,336 |
$278K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,684 |
2,542 |
$270K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,562 |
1,490 |
$150K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,701 |
5,238 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
964 |
895 |
$95K |
| 90461 |
|
4,114 |
3,710 |
$87K |
| 97802 |
|
1,664 |
1,544 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
990 |
967 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
142 |
137 |
$9K |
| 90670 |
|
1,516 |
1,392 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
729 |
490 |
$6K |
| 90677 |
|
364 |
359 |
$5K |
| 99381 |
|
53 |
47 |
$4K |
| 99383 |
|
31 |
30 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
436 |
421 |
$3K |
| 97803 |
|
118 |
116 |
$2K |
| 86403 |
|
229 |
211 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
56 |
$1K |
| 96127 |
|
1,061 |
888 |
$980.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
38 |
$766.24 |
| 87430 |
|
373 |
353 |
$616.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
28 |
$558.72 |
| T1015 |
Clinic visit/encounter, all-inclusive |
206 |
190 |
$290.55 |
| 81003 |
|
736 |
691 |
$232.39 |
| 99172 |
|
2,790 |
2,339 |
$231.34 |
| 94664 |
|
14 |
14 |
$160.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
127 |
120 |
$146.02 |
| 90710 |
|
362 |
337 |
$120.02 |
| 90651 |
|
183 |
163 |
$110.29 |
| 90619 |
|
87 |
74 |
$110.29 |
| 90697 |
|
267 |
253 |
$94.62 |
| 90698 |
|
15 |
12 |
$94.62 |
| 90715 |
|
48 |
44 |
$41.39 |
| 90686 |
|
257 |
247 |
$37.16 |
| 90658 |
|
82 |
75 |
$32.66 |
| 85018 |
|
137 |
123 |
$17.34 |
| 99173 |
|
1,782 |
1,566 |
$3.14 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
15 |
$0.65 |
| S9452 |
Nutrition classes, non-physician provider, per session |
49 |
48 |
$0.28 |
| 90680 |
|
388 |
361 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,780 |
3,332 |
$0.00 |
| 94760 |
|
14 |
13 |
$0.00 |
| 90723 |
|
293 |
269 |
$0.00 |
| 3008F |
|
500 |
463 |
$0.00 |
| V5008 |
Hearing screening |
734 |
674 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90716 |
|
30 |
30 |
$0.00 |
| 90707 |
|
81 |
81 |
$0.00 |
| 90648 |
|
533 |
496 |
$0.00 |
| 90633 |
|
370 |
354 |
$0.00 |
| 90734 |
|
37 |
35 |
$0.00 |
| 90700 |
|
103 |
97 |
$0.00 |