| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,895 |
13,263 |
$640K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,192 |
7,619 |
$479K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,546 |
2,417 |
$196K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,764 |
1,683 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,948 |
1,753 |
$146K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,685 |
4,871 |
$139K |
| 99050 |
|
7,972 |
6,573 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,317 |
4,261 |
$98K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,611 |
5,107 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
677 |
641 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,730 |
2,404 |
$28K |
| 87807 |
|
2,089 |
1,902 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
351 |
344 |
$21K |
| 99381 |
|
211 |
207 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
169 |
163 |
$15K |
| 99383 |
|
128 |
127 |
$12K |
| 99382 |
|
84 |
83 |
$7K |
| 90461 |
|
1,861 |
1,502 |
$6K |
| 92551 |
|
2,180 |
2,061 |
$4K |
| 99384 |
|
27 |
26 |
$3K |
| 96160 |
|
850 |
799 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
163 |
154 |
$480.78 |
| 90686 |
|
1,437 |
1,375 |
$62.77 |
| 90677 |
|
237 |
223 |
$0.68 |
| 90670 |
|
891 |
838 |
$0.21 |
| 90633 |
|
528 |
495 |
$0.13 |
| 90681 |
|
395 |
367 |
$0.07 |
| 90647 |
|
691 |
657 |
$0.05 |
| 90619 |
|
30 |
30 |
$0.04 |
| 90700 |
|
63 |
57 |
$0.02 |
| 99173 |
|
1,926 |
1,808 |
$0.00 |
| 90672 |
|
35 |
34 |
$0.00 |
| 90710 |
|
82 |
81 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 90707 |
|
41 |
40 |
$0.00 |
| 90723 |
|
372 |
360 |
$0.00 |
| 90696 |
|
69 |
69 |
$0.00 |
| 90698 |
|
135 |
128 |
$0.00 |
| 96127 |
|
892 |
827 |
$0.00 |
| 90716 |
|
41 |
40 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |