| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,710 |
3,255 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,303 |
2,056 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
896 |
879 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
782 |
720 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,370 |
2,297 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
428 |
420 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
197 |
$8K |
| D0190 |
|
485 |
480 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
397 |
380 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
408 |
396 |
$4K |
| 92551 |
|
479 |
479 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
109 |
107 |
$3K |
| 96127 |
|
739 |
708 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 92558 |
|
164 |
164 |
$599.54 |
| 83655 |
|
41 |
41 |
$502.25 |
| 99177 |
|
182 |
182 |
$465.34 |
| 99188 |
|
63 |
63 |
$447.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$265.90 |
| 85018 |
|
71 |
71 |
$104.16 |
| 96161 |
|
81 |
80 |
$86.71 |
| 99051 |
|
12 |
12 |
$55.00 |
| 81002 |
|
13 |
13 |
$34.85 |
| 96160 |
|
15 |
12 |
$8.72 |
| G8432 |
Depression screening not documented, reason not given |
186 |
159 |
$0.00 |
| 90686 |
|
722 |
706 |
$0.00 |
| 3074F |
|
350 |
281 |
$0.00 |
| 90698 |
|
51 |
51 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |
| 90656 |
|
56 |
56 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 99173 |
|
642 |
633 |
$0.00 |
| 90461 |
|
800 |
780 |
$0.00 |
| 90685 |
|
48 |
47 |
$0.00 |
| 90670 |
|
311 |
305 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 3078F |
|
346 |
277 |
$0.00 |
| 90633 |
|
37 |
37 |
$0.00 |
| 90707 |
|
30 |
30 |
$0.00 |