| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,565 |
29,062 |
$2.01M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,405 |
12,449 |
$299K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,782 |
2,782 |
$215K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,891 |
2,888 |
$202K |
| 99401 |
|
8,838 |
8,619 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,443 |
1,436 |
$90K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,143 |
8,507 |
$88K |
| 92551 |
|
8,999 |
8,994 |
$76K |
| 90461 |
|
2,420 |
2,311 |
$74K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,797 |
3,786 |
$65K |
| 97802 |
|
2,524 |
2,517 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
749 |
731 |
$45K |
| 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 |
1,912 |
1,911 |
$33K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,629 |
1,628 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
157 |
157 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,011 |
597 |
$12K |
| 90672 |
|
1,317 |
1,313 |
$7K |
| 0071A |
|
150 |
150 |
$5K |
| 90686 |
|
3,551 |
3,543 |
$5K |
| 0072A |
|
112 |
111 |
$4K |
| 99173 |
|
5,370 |
5,361 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
130 |
130 |
$2K |
| 86580 |
|
376 |
369 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
152 |
137 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
399 |
398 |
$2K |
| 99406 |
|
190 |
190 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
198 |
198 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$1K |
| 90656 |
|
290 |
290 |
$1K |
| 90660 |
|
228 |
228 |
$924.58 |
| 99384 |
|
15 |
15 |
$887.13 |
| 99381 |
|
200 |
191 |
$361.66 |
| 96127 |
|
379 |
379 |
$334.23 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
40 |
39 |
$287.00 |
| 99001 |
|
423 |
401 |
$176.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$150.93 |
| 90670 |
|
244 |
244 |
$124.95 |
| 90680 |
|
128 |
126 |
$71.40 |
| 90698 |
|
135 |
134 |
$53.55 |
| 96160 |
|
35 |
35 |
$49.12 |
| 90633 |
|
128 |
128 |
$35.70 |
| 90744 |
|
25 |
25 |
$29.90 |
| 90671 |
|
200 |
200 |
$1.45 |
| 91307 |
|
217 |
206 |
$1.27 |
| 90619 |
|
119 |
119 |
$0.09 |
| 90651 |
|
354 |
354 |
$0.00 |
| 90716 |
|
55 |
55 |
$0.00 |
| 90620 |
|
85 |
85 |
$0.00 |
| 90658 |
|
70 |
70 |
$0.00 |
| 90734 |
|
111 |
109 |
$0.00 |
| 90685 |
|
56 |
54 |
$0.00 |
| 90700 |
|
77 |
77 |
$0.00 |
| 90707 |
|
55 |
55 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |