| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,678 |
2,481 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,088 |
1,071 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,204 |
1,179 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
905 |
890 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
563 |
551 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,711 |
1,675 |
$9K |
| 99188 |
|
409 |
405 |
$8K |
| 92552 |
|
682 |
673 |
$7K |
| S9470 |
Nutritional counseling, dietitian visit |
267 |
259 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
57 |
$4K |
| 90686 |
|
1,066 |
1,066 |
$4K |
| 96127 |
|
1,219 |
1,190 |
$3K |
| 99383 |
|
37 |
37 |
$3K |
| 99381 |
|
55 |
53 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
754 |
736 |
$3K |
| S9451 |
Exercise classes, non-physician provider, per session |
43 |
43 |
$960.00 |
| 83655 |
|
242 |
241 |
$895.72 |
| 99443 |
|
35 |
35 |
$866.00 |
| 99173 |
|
693 |
684 |
$715.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$421.90 |
| 90620 |
|
206 |
206 |
$315.00 |
| 90651 |
|
281 |
281 |
$198.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$178.10 |
| 90670 |
|
358 |
358 |
$141.00 |
| 90648 |
|
346 |
346 |
$127.00 |
| 90710 |
|
104 |
104 |
$105.00 |
| 90633 |
|
160 |
160 |
$102.00 |
| 90734 |
|
216 |
215 |
$84.00 |
| 96160 |
|
27 |
26 |
$34.88 |
| 96161 |
|
13 |
13 |
$13.08 |
| 36415 |
Collection of venous blood by venipuncture |
738 |
731 |
$2.50 |
| G9920 |
Screening performed and negative |
2,403 |
2,304 |
$0.00 |
| 90681 |
|
105 |
105 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
389 |
386 |
$0.00 |
| 90461 |
|
286 |
280 |
$0.00 |
| 90715 |
|
43 |
43 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$0.00 |
| 90723 |
|
228 |
228 |
$0.00 |