| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,640 |
7,524 |
$568K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,847 |
2,666 |
$266K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,062 |
3,020 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
828 |
826 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
662 |
660 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
452 |
448 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
337 |
319 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
474 |
448 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
112 |
$10K |
| 90461 |
|
473 |
472 |
$8K |
| G9153 |
Mapcp demonstration - physician incentive pool |
112 |
112 |
$8K |
| 99383 |
|
59 |
57 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
260 |
231 |
$5K |
| 96127 |
|
677 |
653 |
$5K |
| 92551 |
|
939 |
901 |
$4K |
| 99384 |
|
25 |
25 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
54 |
$967.68 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$864.54 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
115 |
115 |
$860.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
56 |
$764.65 |
| 99401 |
|
18 |
18 |
$208.26 |
| 90686 |
|
754 |
750 |
$0.00 |
| 90656 |
|
60 |
58 |
$0.00 |
| 90723 |
|
53 |
53 |
$0.00 |
| 90647 |
|
82 |
80 |
$0.00 |
| 99072 |
|
101 |
98 |
$0.00 |
| 90670 |
|
195 |
194 |
$0.00 |
| 90633 |
|
56 |
56 |
$0.00 |
| 90671 |
|
33 |
33 |
$0.00 |
| 90672 |
|
175 |
175 |
$0.00 |
| 90734 |
|
37 |
37 |
$0.00 |