| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,227 |
1,805 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,089 |
926 |
$96K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
847 |
643 |
$65K |
| 99215 |
Prolong outpt/office vis |
227 |
178 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
551 |
508 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
44 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
33 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
239 |
222 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
28 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
133 |
112 |
$290.84 |
| 96111 |
|
84 |
80 |
$201.58 |
| 90686 |
|
40 |
38 |
$41.22 |
| 81002 |
|
78 |
73 |
$11.12 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$2.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |
| 99000 |
|
37 |
36 |
$0.00 |
| 96127 |
|
23 |
21 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| D0190 |
|
102 |
94 |
$0.00 |
| 90461 |
|
32 |
29 |
$0.00 |
| 99188 |
|
54 |
52 |
$0.00 |
| 96160 |
|
15 |
15 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
12 |
$0.00 |
| 82397 |
|
12 |
12 |
$0.00 |