| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,397 |
10,588 |
$791K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,701 |
6,646 |
$332K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,151 |
3,123 |
$296K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,717 |
2,712 |
$276K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,346 |
1,344 |
$137K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,168 |
1,154 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
445 |
443 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,011 |
991 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
316 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,651 |
1,650 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,105 |
1,090 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
993 |
970 |
$15K |
| 97802 |
|
4,455 |
4,437 |
$5K |
| 87807 |
|
283 |
275 |
$4K |
| 90677 |
|
134 |
133 |
$4K |
| 85018 |
|
1,064 |
1,062 |
$2K |
| 99460 |
|
26 |
26 |
$2K |
| 99173 |
|
683 |
676 |
$2K |
| 96127 |
|
267 |
267 |
$1K |
| 96160 |
|
269 |
269 |
$1K |
| 90670 |
|
1,895 |
1,892 |
$861.32 |
| 99177 |
|
525 |
525 |
$774.00 |
| 83655 |
|
101 |
100 |
$770.00 |
| 90686 |
|
1,191 |
1,190 |
$753.41 |
| 99462 |
|
14 |
12 |
$603.21 |
| 90697 |
|
353 |
350 |
$504.58 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,997 |
3,970 |
$462.00 |
| 90619 |
|
75 |
74 |
$246.80 |
| 90621 |
|
52 |
51 |
$146.50 |
| 90633 |
|
746 |
746 |
$88.60 |
| 36416 |
|
524 |
523 |
$10.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90710 |
|
100 |
99 |
$0.00 |
| 90734 |
|
48 |
48 |
$0.00 |
| 90651 |
|
90 |
90 |
$0.00 |
| 90698 |
|
941 |
940 |
$0.00 |
| 90680 |
|
1,332 |
1,329 |
$0.00 |
| 90744 |
|
474 |
473 |
$0.00 |
| 3008F |
|
44 |
44 |
$0.00 |
| 90688 |
|
145 |
145 |
$0.00 |
| 90696 |
|
40 |
39 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |