| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,669 |
6,680 |
$660K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,478 |
2,440 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
635 |
632 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
523 |
523 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
555 |
555 |
$59K |
| 92587 |
|
1,769 |
1,757 |
$42K |
| 99442 |
|
526 |
491 |
$41K |
| 92551 |
|
2,304 |
2,286 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,312 |
2,196 |
$22K |
| 86403 |
|
2,260 |
2,145 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,230 |
1,224 |
$13K |
| 97802 |
|
2,213 |
2,196 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
180 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
566 |
326 |
$8K |
| 87070 |
|
2,263 |
2,148 |
$8K |
| 99429 |
|
143 |
141 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
49 |
$7K |
| 87184 |
|
2,259 |
2,145 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
52 |
$5K |
| 92550 |
|
216 |
200 |
$4K |
| 99173 |
|
1,267 |
1,259 |
$3K |
| 99051 |
|
229 |
222 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
170 |
170 |
$952.00 |
| 87110 |
|
73 |
73 |
$626.21 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
107 |
107 |
$624.60 |
| 0071A |
|
12 |
12 |
$412.56 |
| 90461 |
|
12 |
12 |
$337.90 |
| 36415 |
Collection of venous blood by venipuncture |
129 |
127 |
$177.65 |
| 99072 |
|
103 |
101 |
$116.00 |
| 90688 |
|
12 |
12 |
$35.69 |
| 91307 |
|
15 |
12 |
$3.60 |
| 94760 |
|
144 |
142 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| 3008F |
|
66 |
63 |
$0.00 |
| 3074F |
|
41 |
39 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 1160F |
|
87 |
78 |
$0.00 |
| 1159F |
|
87 |
78 |
$0.00 |
| 3078F |
|
41 |
39 |
$0.00 |