| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,865 |
4,917 |
$306K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
722 |
721 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
729 |
707 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
520 |
520 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
375 |
375 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,052 |
1,926 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,391 |
1,237 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
817 |
752 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
182 |
179 |
$13K |
| 99188 |
|
581 |
579 |
$13K |
| 3008F |
|
1,798 |
1,789 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
329 |
313 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
498 |
467 |
$4K |
| 90461 |
|
117 |
117 |
$3K |
| 83655 |
|
162 |
162 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,272 |
1,243 |
$2K |
| 96127 |
|
545 |
544 |
$1K |
| 90686 |
|
77 |
77 |
$1K |
| D1206 |
Topical application of fluoride varnish |
357 |
355 |
$660.00 |
| 99173 |
|
1,341 |
1,337 |
$393.36 |
| S9470 |
Nutritional counseling, dietitian visit |
990 |
963 |
$256.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$201.82 |
| 86580 |
|
16 |
16 |
$60.59 |
| D0140 |
Limited oral evaluation - problem focused |
539 |
537 |
$0.00 |
| 97802 |
|
36 |
35 |
$0.00 |