| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,627 |
11,721 |
$1.27M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,022 |
3,013 |
$311K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,978 |
8,794 |
$283K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,458 |
2,424 |
$233K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,744 |
1,744 |
$186K |
| 92552 |
|
3,389 |
3,387 |
$125K |
| 90461 |
|
2,833 |
2,800 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
523 |
523 |
$61K |
| 99173 |
|
2,670 |
2,670 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
49 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
726 |
726 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
47 |
$6K |
| 90686 |
|
2,568 |
2,565 |
$3K |
| 99381 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$1K |
| 96127 |
|
574 |
574 |
$844.91 |
| 90670 |
|
1,322 |
1,321 |
$767.56 |
| 0072A |
|
20 |
20 |
$762.12 |
| 90671 |
|
57 |
57 |
$507.57 |
| 0071A |
|
12 |
12 |
$480.00 |
| 90698 |
|
763 |
762 |
$410.55 |
| 90680 |
|
757 |
756 |
$392.70 |
| 90656 |
|
375 |
375 |
$212.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$208.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
548 |
548 |
$187.32 |
| 90633 |
|
393 |
393 |
$160.67 |
| 90744 |
|
372 |
372 |
$107.10 |
| 90716 |
|
430 |
426 |
$53.55 |
| 90672 |
|
49 |
49 |
$26.88 |
| 90707 |
|
401 |
397 |
$17.85 |
| G9275 |
Documentation that patient is a current non-tobacco user |
562 |
562 |
$0.08 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
57 |
57 |
$0.02 |
| 1036F |
|
642 |
642 |
$0.00 |
| 1000F |
|
578 |
578 |
$0.00 |
| 91307 |
|
28 |
22 |
$0.00 |
| 90696 |
|
60 |
60 |
$0.00 |
| 97802 |
|
14 |
13 |
$0.00 |
| 3725F |
|
682 |
681 |
$0.00 |
| 90685 |
|
108 |
108 |
$0.00 |
| 90648 |
|
55 |
55 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90700 |
|
31 |
31 |
$0.00 |