| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,840 |
1,605 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,241 |
1,132 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
556 |
545 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
523 |
520 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
367 |
364 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
235 |
234 |
$11K |
| 92552 |
|
825 |
825 |
$11K |
| 96127 |
|
914 |
834 |
$5K |
| 94760 |
|
522 |
438 |
$3K |
| 99173 |
|
504 |
504 |
$2K |
| 90670 |
|
356 |
356 |
$1K |
| 90698 |
|
359 |
359 |
$1K |
| 90686 |
|
726 |
726 |
$731.04 |
| 90680 |
|
162 |
162 |
$684.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$657.15 |
| 90744 |
|
157 |
156 |
$657.00 |
| 90685 |
|
166 |
165 |
$396.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
183 |
182 |
$391.29 |
| 92567 |
|
371 |
371 |
$327.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,268 |
671 |
$280.00 |
| 90633 |
|
147 |
147 |
$270.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
15 |
$216.90 |
| 90461 |
|
290 |
240 |
$150.00 |
| 90651 |
|
112 |
112 |
$84.05 |
| 90734 |
|
105 |
105 |
$54.00 |
| 90715 |
|
39 |
39 |
$36.00 |
| 90707 |
|
13 |
13 |
$27.00 |
| 90696 |
|
12 |
12 |
$18.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
898 |
898 |
$2.74 |
| 97802 |
|
569 |
569 |
$0.92 |
| 1220F |
|
314 |
278 |
$0.00 |