| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,527 |
21,803 |
$1.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,194 |
5,888 |
$549K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,292 |
5,249 |
$418K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,007 |
3,994 |
$312K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,269 |
4,247 |
$299K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,487 |
2,476 |
$211K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,814 |
6,809 |
$192K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,042 |
2,999 |
$110K |
| 99381 |
|
690 |
681 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,139 |
2,106 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,205 |
3,172 |
$26K |
| 96127 |
|
6,469 |
6,410 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,285 |
1,262 |
$18K |
| 99215 |
Prolong outpt/office vis |
136 |
133 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
666 |
655 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,417 |
1,394 |
$13K |
| 81002 |
|
2,227 |
2,213 |
$6K |
| D0190 |
|
319 |
319 |
$4K |
| 96161 |
|
3,165 |
2,842 |
$3K |
| 99188 |
|
310 |
310 |
$2K |
| 95117 |
|
246 |
96 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
119 |
97 |
$1K |
| 0071A |
|
25 |
25 |
$954.85 |
| 0072A |
|
22 |
22 |
$839.15 |
| 0081A |
|
13 |
13 |
$492.83 |
| 96380 |
|
12 |
12 |
$283.72 |
| 94664 |
|
148 |
129 |
$249.96 |
| 98966 |
|
17 |
17 |
$62.58 |
| 90688 |
|
2,195 |
2,195 |
$19.17 |
| 90700 |
|
607 |
597 |
$0.00 |
| 90707 |
|
1,846 |
1,837 |
$0.00 |
| 90670 |
|
3,151 |
3,130 |
$0.00 |
| 90734 |
|
838 |
835 |
$0.00 |
| 90633 |
|
1,913 |
1,891 |
$0.00 |
| 90715 |
|
376 |
374 |
$0.00 |
| 90687 |
|
454 |
448 |
$0.00 |
| 90658 |
|
116 |
115 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 90461 |
|
29 |
29 |
$0.00 |
| 99173 |
|
99 |
99 |
$0.00 |
| 91308 |
|
15 |
14 |
$0.00 |
| 90647 |
|
2,746 |
2,729 |
$0.00 |
| 90723 |
|
2,788 |
2,772 |
$0.00 |
| 90680 |
|
2,393 |
2,381 |
$0.00 |
| 90716 |
|
1,822 |
1,814 |
$0.00 |
| 90620 |
|
125 |
124 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,285 |
3,277 |
$0.00 |
| 90696 |
|
462 |
460 |
$0.00 |
| 90651 |
|
963 |
961 |
$0.00 |
| 92583 |
|
158 |
157 |
$0.00 |
| 90677 |
|
449 |
449 |
$0.00 |
| 90619 |
|
177 |
177 |
$0.00 |
| 91307 |
|
51 |
40 |
$0.00 |