| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,600 |
3,512 |
$320K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,715 |
1,419 |
$165K |
| 99215 |
Prolong outpt/office vis |
475 |
378 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
476 |
438 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
397 |
332 |
$5K |
| 94664 |
|
393 |
344 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
38 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
28 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
207 |
189 |
$3K |
| 94760 |
|
1,452 |
1,180 |
$3K |
| 90473 |
|
146 |
136 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
92 |
86 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
66 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 90672 |
|
74 |
64 |
$963.90 |
| 94010 |
|
16 |
16 |
$542.76 |
| 0072A |
|
12 |
12 |
$459.54 |
| 0071A |
|
14 |
12 |
$336.00 |
| 99173 |
|
45 |
38 |
$322.35 |
| 90686 |
|
19 |
15 |
$280.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
137 |
109 |
$197.91 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
13 |
$121.00 |
| 90474 |
|
15 |
14 |
$107.34 |
| 90687 |
|
19 |
16 |
$0.00 |