| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,706 |
22,362 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,393 |
6,098 |
$521K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,975 |
4,853 |
$400K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,283 |
3,247 |
$251K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,745 |
2,718 |
$240K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,437 |
6,291 |
$222K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,267 |
6,171 |
$106K |
| 90461 |
|
3,451 |
3,379 |
$89K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
967 |
620 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,747 |
1,698 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
372 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,172 |
1,165 |
$17K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,198 |
1,166 |
$13K |
| 99215 |
Prolong outpt/office vis |
75 |
56 |
$8K |
| 99177 |
|
605 |
591 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
816 |
611 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
97 |
96 |
$6K |
| 96127 |
|
1,694 |
1,556 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
380 |
375 |
$4K |
| 92551 |
|
491 |
486 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
211 |
$2K |
| 0071A |
|
50 |
50 |
$2K |
| 83655 |
|
114 |
113 |
$1K |
| 0072A |
|
31 |
31 |
$1K |
| 99188 |
|
52 |
52 |
$1K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
14 |
14 |
$768.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$424.88 |
| 85018 |
|
147 |
145 |
$318.78 |
| 99173 |
|
167 |
161 |
$189.48 |
| 87807 |
|
13 |
13 |
$128.81 |
| 90474 |
|
12 |
12 |
$120.00 |
| 96161 |
|
751 |
744 |
$36.87 |
| 96160 |
|
236 |
229 |
$1.77 |
| 90686 |
|
3,345 |
3,310 |
$0.00 |
| 90688 |
|
847 |
814 |
$0.00 |
| 36416 |
|
724 |
714 |
$0.00 |
| 90647 |
|
484 |
484 |
$0.00 |
| 90723 |
|
552 |
547 |
$0.00 |
| 90677 |
|
114 |
114 |
$0.00 |
| 90697 |
|
137 |
135 |
$0.00 |
| 91307 |
|
107 |
105 |
$0.00 |
| 90670 |
|
1,370 |
1,347 |
$0.00 |
| 90685 |
|
166 |
164 |
$0.00 |
| 90681 |
|
88 |
88 |
$0.00 |
| 90671 |
|
89 |
89 |
$0.00 |
| 90633 |
|
84 |
83 |
$0.00 |
| 91300 |
|
14 |
12 |
$0.00 |