| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,057 |
6,455 |
$693K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,673 |
3,565 |
$434K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,528 |
3,374 |
$372K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,545 |
2,400 |
$261K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,407 |
1,269 |
$132K |
| 90686 |
|
5,522 |
5,239 |
$122K |
| 92551 |
|
8,581 |
8,244 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
601 |
537 |
$71K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,725 |
4,406 |
$48K |
| 90651 |
|
1,580 |
1,503 |
$35K |
| 90620 |
|
1,374 |
1,327 |
$31K |
| 90698 |
|
1,432 |
1,320 |
$30K |
| 90670 |
|
1,208 |
1,121 |
$27K |
| 90619 |
|
702 |
651 |
$26K |
| 99173 |
|
8,580 |
8,242 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
379 |
349 |
$20K |
| 0001A |
|
598 |
569 |
$20K |
| 96127 |
|
4,259 |
4,112 |
$20K |
| 0002A |
|
530 |
516 |
$19K |
| 90734 |
|
806 |
783 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
143 |
130 |
$17K |
| 99460 |
|
222 |
182 |
$16K |
| 90633 |
|
746 |
709 |
$16K |
| 90680 |
|
697 |
633 |
$15K |
| 90715 |
|
558 |
525 |
$12K |
| 90710 |
|
550 |
517 |
$12K |
| 90677 |
|
213 |
198 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
937 |
834 |
$10K |
| 90744 |
|
458 |
418 |
$10K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
998 |
987 |
$9K |
| 96160 |
|
3,247 |
3,101 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
152 |
120 |
$8K |
| 99051 |
|
670 |
604 |
$6K |
| 90696 |
|
285 |
264 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,522 |
1,399 |
$4K |
| 90661 |
|
141 |
135 |
$4K |
| 0053A |
|
90 |
88 |
$4K |
| 90656 |
|
109 |
108 |
$2K |
| 0072A |
|
54 |
52 |
$2K |
| 90658 |
|
93 |
93 |
$2K |
| 99383 |
|
17 |
17 |
$2K |
| 0071A |
|
53 |
52 |
$2K |
| 0073A |
|
36 |
33 |
$1K |
| 90716 |
|
43 |
43 |
$1K |
| 90707 |
|
39 |
39 |
$907.92 |
| 0003A |
|
26 |
19 |
$760.00 |
| 2015F |
|
14 |
12 |
$220.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
17 |
$214.68 |
| 81002 |
|
60 |
57 |
$160.79 |
| 91300 |
|
191 |
150 |
$40.00 |
| 99050 |
|
14 |
14 |
$34.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
41 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
319 |
311 |
$0.00 |
| 91307 |
|
326 |
256 |
$0.00 |
| 91305 |
|
46 |
37 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
43 |
43 |
$0.00 |