| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,896 |
4,639 |
$266K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,590 |
2,402 |
$201K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,420 |
2,390 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,711 |
1,654 |
$58K |
| 92550 |
|
2,313 |
2,268 |
$29K |
| 92587 |
|
1,139 |
1,138 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
270 |
269 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,167 |
646 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
178 |
177 |
$14K |
| 87184 |
|
2,498 |
2,422 |
$12K |
| 96127 |
|
2,485 |
2,483 |
$10K |
| 87430 |
|
1,225 |
1,182 |
$7K |
| 97802 |
|
806 |
806 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
78 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,549 |
1,546 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$5K |
| 87081 |
|
1,222 |
1,179 |
$5K |
| 86403 |
|
627 |
612 |
$4K |
| 92551 |
|
437 |
437 |
$3K |
| 87070 |
|
433 |
424 |
$3K |
| 81002 |
|
1,174 |
1,157 |
$2K |
| 92568 |
|
1,450 |
1,419 |
$2K |
| 85018 |
|
563 |
563 |
$912.49 |
| 99173 |
|
723 |
723 |
$787.06 |
| 36410 |
|
98 |
98 |
$778.33 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
67 |
67 |
$637.26 |
| 94760 |
|
965 |
887 |
$438.57 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
40 |
40 |
$359.58 |
| 92015 |
Determination of refractive state |
684 |
684 |
$145.95 |
| 36415 |
Collection of venous blood by venipuncture |
213 |
211 |
$115.26 |
| 90686 |
|
278 |
272 |
$74.91 |
| 99070 |
|
748 |
710 |
$22.29 |
| 90670 |
|
14 |
14 |
$0.00 |
| 99000 |
|
34 |
34 |
$0.00 |