| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,152 |
11,162 |
$203K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,827 |
7,713 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,505 |
3,361 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,059 |
2,960 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,321 |
2,243 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
944 |
923 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
821 |
802 |
$19K |
| 97802 |
|
7,002 |
6,984 |
$16K |
| 90473 |
|
1,071 |
1,071 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,152 |
1,150 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
548 |
535 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
315 |
301 |
$4K |
| 90686 |
|
921 |
914 |
$3K |
| 90461 |
|
777 |
772 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
96 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
6,777 |
6,770 |
$1K |
| 87490 |
|
717 |
715 |
$795.56 |
| 90715 |
|
41 |
41 |
$610.28 |
| 99441 |
|
118 |
104 |
$483.25 |
| 99401 |
|
3,017 |
3,005 |
$452.36 |
| 90619 |
|
195 |
195 |
$156.10 |
| 90656 |
|
175 |
175 |
$57.76 |
| 90672 |
|
348 |
347 |
$49.83 |
| 90674 |
|
51 |
49 |
$32.37 |
| 90633 |
|
26 |
25 |
$30.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 1220F |
|
2,718 |
2,716 |
$0.00 |
| 90651 |
|
66 |
64 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
13 |
$0.00 |
| 90716 |
|
29 |
29 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
17 |
17 |
$0.00 |
| 1000F |
|
16 |
16 |
$0.00 |
| 1036F |
|
17 |
17 |
$0.00 |