| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,101 |
9,028 |
$645K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,923 |
1,917 |
$154K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,639 |
1,628 |
$132K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,082 |
1,073 |
$93K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,172 |
3,085 |
$68K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,643 |
6,566 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
883 |
867 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
573 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,020 |
1,955 |
$26K |
| 92587 |
|
1,170 |
1,165 |
$11K |
| 81002 |
|
3,857 |
3,823 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
131 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
154 |
153 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
152 |
73 |
$2K |
| 90649 |
|
43 |
43 |
$775.15 |
| 0071A |
|
12 |
12 |
$460.32 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,962 |
1,953 |
$405.56 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
524 |
517 |
$190.07 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$150.46 |
| 97802 |
|
13 |
13 |
$120.00 |
| 90661 |
|
45 |
45 |
$25.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
522 |
517 |
$5.00 |
| 90658 |
|
35 |
35 |
$0.01 |
| 90723 |
|
81 |
80 |
$0.00 |
| 90686 |
|
243 |
241 |
$0.00 |
| 90698 |
|
89 |
89 |
$0.00 |
| 90744 |
|
37 |
37 |
$0.00 |
| 90680 |
|
77 |
76 |
$0.00 |
| 94760 |
|
44 |
41 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 99173 |
|
3,488 |
3,468 |
$0.00 |
| 90633 |
|
39 |
39 |
$0.00 |
| 90461 |
|
848 |
842 |
$0.00 |
| 90670 |
|
474 |
468 |
$0.00 |
| 90707 |
|
52 |
52 |
$0.00 |
| 90734 |
|
85 |
85 |
$0.00 |
| 90648 |
|
122 |
119 |
$0.00 |