| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,317 |
9,601 |
$421K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,335 |
2,296 |
$195K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,990 |
1,949 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,460 |
2,370 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,408 |
1,376 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,790 |
3,948 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
896 |
830 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,569 |
2,502 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,814 |
2,645 |
$38K |
| 99382 |
|
273 |
272 |
$26K |
| 99429 |
|
462 |
447 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,940 |
1,751 |
$15K |
| 90461 |
|
3,606 |
1,860 |
$9K |
| 96160 |
|
2,144 |
2,084 |
$5K |
| 99383 |
|
39 |
39 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$3K |
| 99000 |
|
111 |
107 |
$1K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
47 |
43 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
13 |
$228.00 |
| 90686 |
|
1,800 |
1,765 |
$37.17 |
| 90651 |
|
584 |
572 |
$0.02 |
| 90672 |
|
43 |
43 |
$0.01 |
| 90715 |
|
477 |
469 |
$0.01 |
| 90648 |
|
607 |
585 |
$0.00 |
| 90633 |
|
93 |
90 |
$0.00 |
| 90670 |
|
553 |
534 |
$0.00 |
| 90734 |
|
488 |
481 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90723 |
|
67 |
65 |
$0.00 |
| 90677 |
|
131 |
128 |
$0.00 |
| 90680 |
|
218 |
216 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90620 |
|
100 |
99 |
$0.00 |