| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,026 |
8,122 |
$336K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,529 |
4,290 |
$236K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,592 |
1,586 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,630 |
1,604 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,545 |
1,459 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,204 |
1,192 |
$108K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,804 |
4,776 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
898 |
885 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,391 |
1,907 |
$19K |
| 90461 |
|
2,172 |
1,872 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
427 |
210 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
362 |
353 |
$5K |
| 99383 |
|
28 |
28 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
178 |
172 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 99050 |
|
84 |
82 |
$1K |
| 96161 |
|
261 |
259 |
$393.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34 |
33 |
$368.90 |
| 87807 |
|
26 |
25 |
$275.00 |
| 96160 |
|
38 |
38 |
$70.84 |
| 90672 |
|
103 |
100 |
$0.00 |
| 90633 |
|
487 |
479 |
$0.00 |
| 90707 |
|
348 |
343 |
$0.00 |
| 90685 |
|
242 |
238 |
$0.00 |
| 90670 |
|
1,124 |
1,104 |
$0.00 |
| 90700 |
|
115 |
113 |
$0.00 |
| 90734 |
|
121 |
121 |
$0.00 |
| 90715 |
|
72 |
72 |
$0.00 |
| 90648 |
|
51 |
51 |
$0.00 |
| 90688 |
|
275 |
274 |
$0.00 |
| 90698 |
|
786 |
768 |
$0.00 |
| 90651 |
|
341 |
338 |
$0.00 |
| 90680 |
|
672 |
658 |
$0.00 |
| 90716 |
|
363 |
357 |
$0.00 |
| 90744 |
|
452 |
438 |
$0.00 |
| 90686 |
|
783 |
770 |
$0.00 |
| 90619 |
|
34 |
31 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |