| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,569 |
10,340 |
$526K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,522 |
2,513 |
$184K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,667 |
2,658 |
$178K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,090 |
2,068 |
$136K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,043 |
1,002 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,766 |
4,646 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
742 |
696 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,074 |
3,018 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,417 |
1,399 |
$26K |
| 90461 |
|
1,751 |
1,707 |
$17K |
| 90620 |
|
368 |
353 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
945 |
935 |
$11K |
| 90651 |
|
234 |
224 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
924 |
900 |
$9K |
| 90686 |
|
2,502 |
2,462 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
119 |
116 |
$8K |
| 90734 |
|
287 |
261 |
$7K |
| 96127 |
|
2,770 |
2,752 |
$7K |
| 90670 |
|
512 |
485 |
$6K |
| 99173 |
|
3,116 |
3,096 |
$6K |
| 90649 |
|
190 |
189 |
$5K |
| 96160 |
|
1,766 |
1,744 |
$3K |
| 90716 |
|
149 |
144 |
$2K |
| 90707 |
|
198 |
191 |
$2K |
| 86403 |
|
418 |
407 |
$1K |
| 90681 |
|
70 |
67 |
$642.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
59 |
$590.33 |
| 90633 |
|
169 |
164 |
$548.42 |
| 90723 |
|
31 |
29 |
$333.22 |
| 90715 |
|
15 |
15 |
$256.62 |
| 81002 |
|
439 |
439 |
$232.69 |
| 90685 |
|
143 |
141 |
$214.06 |
| 94664 |
|
12 |
12 |
$117.75 |
| 90698 |
|
110 |
107 |
$106.79 |
| 90648 |
|
30 |
30 |
$87.76 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
5,529 |
5,500 |
$1.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,865 |
5,844 |
$0.00 |
| 87070 |
|
1,433 |
1,399 |
$0.00 |
| 3008F |
|
5,881 |
5,841 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
5,584 |
5,566 |
$0.00 |
| G0271 |
Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
13 |
13 |
$0.00 |