| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,370 |
5,660 |
$231K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,125 |
1,117 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,109 |
1,091 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
639 |
621 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,538 |
1,644 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
479 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,179 |
1,150 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
677 |
669 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
363 |
347 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
192 |
189 |
$14K |
| 99383 |
|
146 |
141 |
$13K |
| 99384 |
|
118 |
118 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
115 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
70 |
$6K |
| 90461 |
|
947 |
764 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
632 |
470 |
$5K |
| 99382 |
|
45 |
39 |
$4K |
| 96161 |
|
805 |
803 |
$2K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
73 |
73 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
167 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
56 |
$2K |
| 96160 |
|
12 |
12 |
$27.24 |
| 90734 |
|
376 |
373 |
$0.00 |
| 90648 |
|
214 |
210 |
$0.00 |
| 90715 |
|
58 |
57 |
$0.00 |
| 90633 |
|
58 |
56 |
$0.00 |
| 90710 |
|
34 |
32 |
$0.00 |
| 90658 |
|
24 |
24 |
$0.00 |
| 90651 |
|
230 |
227 |
$0.00 |
| 90732 |
|
217 |
214 |
$0.00 |
| 90656 |
|
261 |
261 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90688 |
|
327 |
319 |
$0.00 |
| 90680 |
|
38 |
38 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 90657 |
|
15 |
15 |
$0.00 |