| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,785 |
5,146 |
$374K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,523 |
2,309 |
$249K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,727 |
1,709 |
$142K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,276 |
1,270 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,331 |
1,304 |
$97K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,836 |
4,487 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
480 |
475 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
791 |
764 |
$26K |
| 92551 |
|
2,954 |
2,937 |
$21K |
| 97802 |
|
3,411 |
3,355 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
519 |
518 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
350 |
342 |
$5K |
| 99383 |
|
36 |
36 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
292 |
292 |
$3K |
| 96127 |
|
934 |
921 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
488 |
463 |
$2K |
| 99381 |
|
19 |
19 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$685.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
34 |
$636.39 |
| 99051 |
|
448 |
437 |
$631.25 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,386 |
3,330 |
$601.71 |
| D0190 |
|
76 |
76 |
$592.00 |
| 36416 |
|
336 |
311 |
$433.80 |
| 90686 |
|
1,647 |
1,634 |
$247.88 |
| 99000 |
|
61 |
59 |
$222.99 |
| 81002 |
|
13 |
12 |
$36.69 |
| 96161 |
|
26 |
26 |
$10.36 |
| 1032F |
|
978 |
873 |
$0.00 |
| 90461 |
|
1,831 |
1,720 |
$0.00 |
| 90670 |
|
805 |
804 |
$0.00 |
| 90633 |
|
406 |
404 |
$0.00 |
| 99173 |
|
1,682 |
1,671 |
$0.00 |
| 1033F |
|
3,041 |
2,665 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
43 |
42 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
24 |
24 |
$0.00 |
| 90698 |
|
778 |
774 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
368 |
364 |
$0.00 |
| 90680 |
|
282 |
281 |
$0.00 |
| 90744 |
|
232 |
228 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
161 |
148 |
$0.00 |
| 90651 |
|
109 |
109 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |