| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,663 |
2,236 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
954 |
919 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
711 |
662 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
560 |
531 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,308 |
1,205 |
$40K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,944 |
1,857 |
$37K |
| 99188 |
|
1,564 |
1,498 |
$18K |
| 97802 |
|
1,905 |
1,818 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
904 |
841 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
263 |
223 |
$5K |
| 99383 |
|
61 |
57 |
$5K |
| 92587 |
|
869 |
811 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
423 |
374 |
$3K |
| 99382 |
|
27 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
152 |
132 |
$2K |
| 99384 |
|
13 |
13 |
$1K |
| 90710 |
|
45 |
30 |
$1K |
| 81002 |
|
432 |
384 |
$893.32 |
| 92567 |
|
77 |
74 |
$739.11 |
| 90651 |
|
176 |
173 |
$491.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$403.14 |
| 90686 |
|
445 |
398 |
$245.35 |
| 90734 |
|
54 |
52 |
$192.78 |
| 99070 |
|
46 |
40 |
$125.41 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
12 |
$21.47 |
| 99173 |
|
155 |
139 |
$20.41 |
| 3074F |
|
73 |
45 |
$0.00 |
| 90716 |
|
56 |
56 |
$0.00 |
| 99172 |
|
30 |
30 |
$0.00 |
| 90700 |
|
92 |
91 |
$0.00 |
| 90685 |
|
23 |
21 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 90713 |
|
36 |
36 |
$0.00 |
| 90633 |
|
108 |
97 |
$0.00 |
| 90670 |
|
63 |
56 |
$0.00 |
| 3078F |
|
66 |
42 |
$0.00 |
| 90707 |
|
53 |
53 |
$0.00 |
| 90621 |
|
18 |
18 |
$0.00 |