| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,981 |
12,430 |
$932K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,848 |
4,377 |
$479K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,504 |
3,164 |
$105K |
| G9001 |
Coordinated care fee, initial rate |
1,609 |
1,509 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
486 |
424 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
286 |
276 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
306 |
262 |
$23K |
| 96127 |
|
4,321 |
3,685 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,715 |
2,368 |
$21K |
| 90461 |
|
582 |
519 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,017 |
965 |
$16K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
402 |
399 |
$13K |
| 92552 |
|
454 |
426 |
$11K |
| 96161 |
|
5,454 |
4,875 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
428 |
415 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
78 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 94760 |
|
1,254 |
1,149 |
$2K |
| 90480 |
|
43 |
40 |
$1K |
| 96160 |
|
553 |
496 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
54 |
$1K |
| 0072A |
|
28 |
27 |
$1K |
| 99173 |
|
471 |
428 |
$898.50 |
| 0071A |
|
14 |
14 |
$560.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
15 |
12 |
$421.20 |
| 92558 |
|
27 |
25 |
$188.01 |
| 91307 |
|
66 |
60 |
$0.02 |
| 90648 |
|
26 |
25 |
$0.00 |
| 90685 |
|
107 |
101 |
$0.00 |
| 90670 |
|
41 |
39 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 36416 |
|
66 |
37 |
$0.00 |
| 90686 |
|
1,368 |
1,323 |
$0.00 |
| 90656 |
|
143 |
142 |
$0.00 |
| 90697 |
|
13 |
12 |
$0.00 |