| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,150 |
1,806 |
$3K |
| 90651 |
|
118 |
118 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
387 |
387 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
267 |
267 |
$2K |
| 90619 |
|
101 |
101 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
732 |
732 |
$1K |
| 90710 |
|
143 |
143 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
325 |
325 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
835 |
835 |
$1K |
| 90715 |
|
52 |
52 |
$719.26 |
| 90461 |
|
414 |
414 |
$485.94 |
| 97802 |
|
1,004 |
1,004 |
$459.78 |
| 90677 |
|
245 |
245 |
$396.04 |
| 86580 |
|
858 |
858 |
$346.10 |
| 92551 |
|
567 |
567 |
$317.90 |
| 90620 |
|
66 |
66 |
$295.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
741 |
741 |
$263.37 |
| 90696 |
|
43 |
43 |
$184.99 |
| 85018 |
|
1,167 |
1,164 |
$151.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
643 |
643 |
$140.53 |
| 90633 |
|
124 |
124 |
$117.59 |
| 99173 |
|
783 |
779 |
$103.27 |
| 90700 |
|
38 |
38 |
$88.64 |
| 92552 |
|
182 |
182 |
$77.89 |
| 90686 |
|
286 |
286 |
$67.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
174 |
$46.06 |
| 81003 |
|
817 |
785 |
$44.74 |
| 99188 |
|
279 |
279 |
$40.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
53 |
$25.30 |
| 90648 |
|
25 |
25 |
$17.56 |
| 83655 |
|
110 |
110 |
$16.30 |
| H0033 |
Oral medication administration, direct observation |
74 |
73 |
$9.15 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
250 |
248 |
$0.00 |
| G9920 |
Screening performed and negative |
126 |
126 |
$0.00 |
| 90681 |
|
30 |
30 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$0.00 |
| 90697 |
|
162 |
162 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
280 |
280 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
189 |
$0.00 |
| 90680 |
|
58 |
58 |
$0.00 |