| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,843 |
8,083 |
$579K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,526 |
3,300 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
652 |
649 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
547 |
546 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
359 |
356 |
$22K |
| 99401 |
|
2,396 |
2,342 |
$22K |
| 92551 |
|
2,509 |
2,508 |
$21K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,249 |
1,248 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,635 |
2,423 |
$19K |
| 90461 |
|
497 |
473 |
$13K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
485 |
485 |
$7K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
509 |
509 |
$6K |
| 97802 |
|
1,228 |
1,227 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
847 |
841 |
$3K |
| 90672 |
|
339 |
338 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 99173 |
|
1,867 |
1,866 |
$1K |
| 90686 |
|
932 |
931 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
187 |
99 |
$1K |
| 90734 |
|
26 |
26 |
$85.00 |
| 99406 |
|
12 |
12 |
$77.00 |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 99001 |
|
69 |
67 |
$0.00 |