| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,850 |
8,349 |
$504K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,950 |
1,875 |
$156K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,459 |
1,212 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,197 |
1,164 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,108 |
1,065 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
726 |
668 |
$78K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,467 |
4,354 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,391 |
1,350 |
$35K |
| 97803 |
|
2,995 |
2,787 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
86 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,155 |
1,129 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
69 |
$6K |
| 90670 |
|
302 |
288 |
$6K |
| 92567 |
|
1,383 |
1,195 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,326 |
1,250 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
632 |
301 |
$4K |
| 90688 |
|
1,754 |
1,692 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
499 |
467 |
$2K |
| 90716 |
|
77 |
75 |
$1K |
| 90651 |
|
229 |
224 |
$902.74 |
| 0001A |
|
42 |
38 |
$840.00 |
| 90620 |
|
111 |
110 |
$374.49 |
| 90619 |
|
13 |
12 |
$351.87 |
| 91300 |
|
44 |
40 |
$292.23 |
| 90687 |
|
128 |
127 |
$152.71 |
| 90700 |
|
631 |
612 |
$98.64 |
| 90686 |
|
111 |
111 |
$64.01 |
| 90633 |
|
176 |
167 |
$56.88 |
| 90713 |
|
396 |
383 |
$36.89 |
| 90734 |
|
46 |
46 |
$0.00 |
| 90648 |
|
289 |
274 |
$0.00 |
| 90707 |
|
28 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
141 |
108 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,414 |
2,716 |
$0.00 |
| 90680 |
|
101 |
95 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90744 |
|
27 |
25 |
$0.00 |