| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,123 |
11,724 |
$757K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,938 |
12,410 |
$533K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,034 |
6,952 |
$315K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,589 |
3,353 |
$234K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,258 |
2,136 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,130 |
1,951 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
681 |
632 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,956 |
2,785 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,381 |
2,100 |
$25K |
| 92551 |
|
2,560 |
2,359 |
$16K |
| 99173 |
|
2,941 |
2,716 |
$13K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,847 |
1,498 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,989 |
1,803 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
857 |
786 |
$10K |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
1,420 |
1,122 |
$9K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
1,147 |
1,045 |
$7K |
| 96160 |
|
2,871 |
2,458 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
974 |
820 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,526 |
2,312 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
399 |
387 |
$4K |
| 90461 |
|
4,998 |
4,170 |
$3K |
| 96127 |
|
738 |
643 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
198 |
181 |
$2K |
| 90670 |
|
2,067 |
1,941 |
$2K |
| 90698 |
|
2,128 |
2,004 |
$2K |
| 36416 |
|
595 |
520 |
$878.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$866.57 |
| 94760 |
|
1,187 |
951 |
$793.17 |
| 96161 |
|
165 |
152 |
$779.08 |
| 90686 |
|
2,004 |
1,901 |
$590.38 |
| 90680 |
|
599 |
542 |
$419.64 |
| 90716 |
|
316 |
285 |
$378.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
62 |
56 |
$326.33 |
| 90707 |
|
318 |
287 |
$270.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
57 |
52 |
$226.47 |
| 90651 |
|
49 |
41 |
$177.70 |
| 99051 |
|
38 |
37 |
$90.99 |
| G0008 |
Administration of influenza virus vaccine |
266 |
250 |
$41.96 |
| 90744 |
|
339 |
325 |
$25.16 |
| 81003 |
|
12 |
12 |
$16.02 |
| 99000 |
|
1,178 |
1,022 |
$3.44 |
| 90671 |
|
112 |
87 |
$0.18 |
| G0010 |
Administration of hepatitis b vaccine |
26 |
25 |
$0.00 |
| 90696 |
|
46 |
38 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
131 |
115 |
$0.00 |
| 90633 |
|
329 |
307 |
$0.00 |
| 90685 |
|
90 |
87 |
$0.00 |