| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,651 |
8,832 |
$445K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,943 |
2,786 |
$160K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,449 |
7,386 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,532 |
1,521 |
$78K |
| 94010 |
|
2,690 |
2,665 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,239 |
1,229 |
$64K |
| 92553 |
|
3,420 |
3,395 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,407 |
2,391 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
767 |
765 |
$40K |
| 90620 |
|
383 |
379 |
$27K |
| 69210 |
|
1,244 |
1,210 |
$19K |
| 95930 |
|
459 |
458 |
$15K |
| 90686 |
|
1,782 |
1,746 |
$14K |
| 90461 |
|
968 |
878 |
$12K |
| 99188 |
|
711 |
708 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,423 |
1,407 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
177 |
176 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
664 |
645 |
$8K |
| 94667 |
|
459 |
428 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
475 |
443 |
$4K |
| 92552 |
|
315 |
314 |
$4K |
| 94668 |
|
441 |
413 |
$3K |
| 90744 |
|
360 |
349 |
$2K |
| 90651 |
|
42 |
42 |
$2K |
| 90734 |
|
45 |
45 |
$2K |
| 3008F |
|
206 |
202 |
$2K |
| 99173 |
|
826 |
811 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 92550 |
|
97 |
95 |
$906.78 |
| 90713 |
|
28 |
27 |
$358.78 |
| 90707 |
|
12 |
12 |
$346.66 |
| 97802 |
|
14 |
14 |
$198.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$196.00 |
| 90716 |
|
12 |
12 |
$150.98 |
| 90700 |
|
14 |
12 |
$94.43 |
| 99072 |
|
52 |
52 |
$0.00 |