| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,847 |
1,616 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
920 |
800 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,325 |
1,232 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
456 |
429 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,083 |
983 |
$28K |
| 90461 |
|
590 |
539 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
426 |
392 |
$12K |
| 90677 |
|
48 |
43 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
110 |
$4K |
| 99381 |
|
39 |
39 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
235 |
187 |
$3K |
| 90686 |
|
305 |
296 |
$2K |
| 92552 |
|
324 |
320 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
76 |
$1K |
| 90670 |
|
294 |
282 |
$805.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$462.00 |
| 99173 |
|
325 |
315 |
$385.71 |
| 90698 |
|
350 |
330 |
$370.80 |
| 3008F |
|
932 |
823 |
$339.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$300.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
18 |
$285.50 |
| 36416 |
|
30 |
28 |
$250.00 |
| 90680 |
|
144 |
138 |
$177.28 |
| 97802 |
|
516 |
477 |
$142.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
29 |
$137.77 |
| 85018 |
|
122 |
117 |
$85.37 |
| 90744 |
|
97 |
92 |
$54.80 |
| 83655 |
|
14 |
13 |
$13.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
31 |
$12.27 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 99072 |
|
20 |
15 |
$0.00 |
| 90671 |
|
14 |
12 |
$0.00 |
| 90656 |
|
70 |
69 |
$0.00 |