| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,476 |
3,958 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
791 |
761 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
519 |
506 |
$10K |
| G9920 |
Screening performed and negative |
1,087 |
1,075 |
$10K |
| 92552 |
|
1,225 |
1,199 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
375 |
351 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
177 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
802 |
588 |
$4K |
| 99460 |
|
47 |
47 |
$2K |
| 92551 |
|
127 |
127 |
$1K |
| 90658 |
|
461 |
451 |
$1K |
| 97802 |
|
1,427 |
1,391 |
$1K |
| 99173 |
|
839 |
833 |
$977.98 |
| 86580 |
|
348 |
332 |
$931.36 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,474 |
1,423 |
$869.53 |
| 90670 |
|
153 |
146 |
$631.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
144 |
142 |
$559.87 |
| 85018 |
|
320 |
303 |
$409.44 |
| 90648 |
|
148 |
141 |
$404.28 |
| 96150 |
|
242 |
228 |
$396.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
688 |
674 |
$203.38 |
| 99381 |
|
13 |
13 |
$181.32 |
| 90688 |
|
19 |
19 |
$176.00 |
| 83026 |
|
60 |
60 |
$159.30 |
| 92081 |
|
222 |
220 |
$97.86 |
| 90651 |
|
29 |
29 |
$85.00 |
| 96156 |
|
61 |
61 |
$81.08 |
| 90710 |
|
28 |
28 |
$68.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
21 |
19 |
$41.02 |
| 90696 |
|
16 |
16 |
$39.00 |
| 90700 |
|
40 |
38 |
$38.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
345 |
195 |
$27.00 |
| 99406 |
|
52 |
50 |
$20.62 |
| 90723 |
|
14 |
14 |
$20.00 |
| 92060 |
|
57 |
57 |
$10.00 |
| 90734 |
|
13 |
13 |
$9.00 |
| 96127 |
|
413 |
408 |
$7.21 |
| 90461 |
|
189 |
182 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
96 |
92 |
$0.00 |
| 99441 |
|
58 |
55 |
$0.00 |