| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,231 |
7,097 |
$342K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,678 |
4,809 |
$226K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,545 |
1,350 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,147 |
924 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
894 |
740 |
$60K |
| 96127 |
|
5,925 |
3,992 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,151 |
999 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
236 |
216 |
$15K |
| 1159F |
|
9,688 |
7,787 |
$11K |
| 1160F |
|
7,841 |
6,284 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
85 |
$8K |
| 99177 |
|
1,180 |
983 |
$7K |
| 96161 |
|
1,215 |
926 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
270 |
194 |
$6K |
| 92587 |
|
376 |
311 |
$6K |
| 3008F |
|
5,593 |
4,678 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
375 |
349 |
$5K |
| 92558 |
|
1,502 |
1,256 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
309 |
300 |
$4K |
| 96160 |
|
1,069 |
846 |
$3K |
| 99173 |
|
714 |
561 |
$3K |
| 1126F |
|
540 |
438 |
$2K |
| 0001A |
|
50 |
45 |
$2K |
| 0011A |
|
60 |
51 |
$2K |
| 0012A |
|
39 |
36 |
$1K |
| 90686 |
|
2,517 |
2,203 |
$881.83 |
| 90461 |
|
1,159 |
1,005 |
$726.59 |
| 90480 |
|
19 |
17 |
$719.56 |
| 0002A |
|
18 |
18 |
$640.00 |
| 36415 |
Collection of venous blood by venipuncture |
271 |
218 |
$475.38 |
| 90677 |
|
63 |
52 |
$318.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
13 |
$262.16 |
| 90670 |
|
237 |
225 |
$250.93 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
12 |
$172.76 |
| 99051 |
|
105 |
94 |
$108.32 |
| 94760 |
|
314 |
285 |
$91.10 |
| 36416 |
|
60 |
50 |
$67.28 |
| 90648 |
|
45 |
44 |
$21.84 |
| 91301 |
|
105 |
93 |
$16.94 |
| 90661 |
|
238 |
201 |
$0.22 |
| 90674 |
|
131 |
124 |
$0.00 |
| 2015F |
|
53 |
50 |
$0.00 |
| 90716 |
|
17 |
13 |
$0.00 |
| 90680 |
|
40 |
39 |
$0.00 |
| 90723 |
|
14 |
13 |
$0.00 |
| 99072 |
|
7,040 |
5,939 |
$0.00 |
| 99001 |
|
143 |
113 |
$0.00 |
| 91300 |
|
114 |
103 |
$0.00 |
| 90633 |
|
21 |
13 |
$0.00 |
| 90685 |
|
30 |
29 |
$0.00 |
| 90707 |
|
17 |
13 |
$0.00 |