| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,520 |
4,246 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,693 |
1,632 |
$152K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
943 |
939 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,471 |
2,430 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
703 |
700 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,619 |
3,558 |
$34K |
| 92081 |
|
1,840 |
1,835 |
$32K |
| 92551 |
|
2,811 |
2,804 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
234 |
234 |
$19K |
| 99383 |
|
42 |
42 |
$4K |
| 97802 |
|
1,942 |
1,932 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
41 |
$3K |
| 81002 |
|
1,307 |
1,296 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 99490 |
Ccm add 20min |
33 |
32 |
$1K |
| 90686 |
|
293 |
291 |
$713.11 |
| 36416 |
|
308 |
300 |
$265.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$170.20 |
| 36415 |
Collection of venous blood by venipuncture |
147 |
146 |
$161.68 |
| 85014 |
|
56 |
56 |
$109.73 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,403 |
1,402 |
$27.79 |
| 83655 |
|
18 |
18 |
$0.18 |
| 90734 |
|
28 |
28 |
$0.00 |
| 90461 |
|
613 |
612 |
$0.00 |
| 99173 |
|
155 |
154 |
$0.00 |
| 90633 |
|
53 |
53 |
$0.00 |
| 90707 |
|
33 |
33 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90716 |
|
49 |
49 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |