| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
9,446 |
9,231 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,043 |
19,258 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,587 |
2,490 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,729 |
3,688 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,666 |
2,656 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,447 |
3,425 |
$95K |
| 92552 |
|
9,160 |
9,124 |
$73K |
| G9920 |
Screening performed and negative |
6,733 |
6,671 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,772 |
10,097 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,096 |
3,805 |
$46K |
| 96151 |
|
3,067 |
3,030 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
518 |
508 |
$13K |
| 90670 |
|
2,408 |
2,272 |
$12K |
| 99173 |
|
7,846 |
7,817 |
$12K |
| 3074F |
|
11,946 |
11,142 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,496 |
1,423 |
$8K |
| 3078F |
|
12,128 |
11,289 |
$8K |
| 3008F |
|
12,017 |
11,176 |
$7K |
| 90698 |
|
1,368 |
1,305 |
$7K |
| 90680 |
|
1,153 |
1,123 |
$6K |
| 90656 |
|
1,974 |
1,902 |
$6K |
| 90744 |
|
843 |
804 |
$4K |
| 99384 |
|
79 |
77 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$4K |
| 99381 |
|
57 |
49 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
97 |
$3K |
| 99383 |
|
87 |
86 |
$3K |
| 90716 |
|
1,031 |
1,014 |
$2K |
| 99401 |
|
12,820 |
11,962 |
$2K |
| 90707 |
|
902 |
890 |
$2K |
| 90633 |
|
671 |
655 |
$2K |
| 90655 |
|
534 |
477 |
$2K |
| 90461 |
|
4,635 |
4,191 |
$2K |
| 90700 |
|
753 |
740 |
$1K |
| 99460 |
|
26 |
25 |
$1K |
| 90697 |
|
85 |
85 |
$933.81 |
| 92551 |
|
223 |
223 |
$817.87 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
92 |
$736.01 |
| 0002A |
|
51 |
31 |
$728.00 |
| 90649 |
|
847 |
845 |
$614.00 |
| 90713 |
|
221 |
220 |
$343.00 |
| 90734 |
|
418 |
416 |
$315.00 |
| 0001A |
|
24 |
13 |
$312.00 |
| 96150 |
|
32 |
32 |
$284.76 |
| 99382 |
|
14 |
12 |
$172.86 |
| 90715 |
|
142 |
141 |
$135.00 |
| 96127 |
|
322 |
319 |
$43.29 |
| 99441 |
|
3,408 |
3,127 |
$36.08 |
| 90621 |
|
105 |
104 |
$28.00 |
| 3075F |
|
231 |
214 |
$9.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 97803 |
|
13 |
13 |
$0.00 |
| 91300 |
|
42 |
31 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
221 |
105 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |