| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,013 |
19,350 |
$805K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,719 |
3,695 |
$306K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,255 |
3,229 |
$290K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,049 |
3,005 |
$236K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,696 |
9,909 |
$203K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,224 |
11,441 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,439 |
1,412 |
$108K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,869 |
3,304 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,510 |
1,459 |
$79K |
| 99429 |
|
1,228 |
1,214 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,339 |
2,426 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,153 |
1,132 |
$17K |
| 90461 |
|
1,924 |
1,590 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
341 |
333 |
$8K |
| 99383 |
|
70 |
70 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
962 |
942 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
77 |
76 |
$6K |
| 99051 |
|
487 |
468 |
$6K |
| 87807 |
|
527 |
500 |
$6K |
| 97169 |
|
137 |
136 |
$4K |
| 96160 |
|
1,709 |
1,697 |
$3K |
| 86580 |
|
382 |
370 |
$3K |
| 99381 |
|
25 |
25 |
$2K |
| 96161 |
|
1,073 |
1,062 |
$2K |
| 99382 |
|
17 |
16 |
$1K |
| 96380 |
|
54 |
53 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
100 |
100 |
$591.63 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
26 |
$217.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
17 |
$172.65 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
16 |
16 |
$32.68 |
| 90677 |
|
436 |
427 |
$0.48 |
| 90686 |
|
5,217 |
5,177 |
$0.35 |
| 90651 |
|
1,305 |
1,290 |
$0.11 |
| 90621 |
|
1,028 |
1,021 |
$0.09 |
| 90734 |
|
1,245 |
1,230 |
$0.00 |
| 90715 |
|
473 |
468 |
$0.00 |
| 90681 |
|
459 |
452 |
$0.00 |
| 90710 |
|
648 |
642 |
$0.00 |
| 90670 |
|
1,150 |
1,138 |
$0.00 |
| 90633 |
|
981 |
972 |
$0.00 |
| 90707 |
|
117 |
117 |
$0.00 |
| 90700 |
|
277 |
276 |
$0.00 |
| 90647 |
|
1,231 |
1,215 |
$0.00 |
| 90723 |
|
1,138 |
1,124 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,976 |
1,952 |
$0.00 |
| 96127 |
|
1,488 |
1,444 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
2,015 |
1,992 |
$0.00 |
| 90696 |
|
207 |
207 |
$0.00 |
| 90656 |
|
849 |
847 |
$0.00 |
| 90716 |
|
122 |
122 |
$0.00 |
| 90381 |
|
28 |
27 |
$0.00 |