| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,268 |
14,926 |
$323K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,913 |
4,862 |
$164K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,348 |
4,312 |
$146K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,604 |
3,508 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,004 |
2,965 |
$101K |
| 90461 |
|
5,987 |
5,872 |
$99K |
| 90677 |
|
286 |
281 |
$64K |
| 99188 |
|
2,300 |
2,284 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,088 |
18,257 |
$28K |
| 90651 |
|
436 |
423 |
$12K |
| 90686 |
|
2,856 |
2,801 |
$9K |
| 90734 |
|
497 |
490 |
$9K |
| 90621 |
|
200 |
194 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,038 |
1,011 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,458 |
4,297 |
$4K |
| 92551 |
|
9,171 |
9,083 |
$4K |
| 0071A |
|
92 |
92 |
$4K |
| 90670 |
|
767 |
741 |
$3K |
| 36416 |
|
274 |
270 |
$3K |
| 0001A |
|
57 |
56 |
$2K |
| 0072A |
|
50 |
50 |
$2K |
| 90710 |
|
83 |
82 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
85 |
$1K |
| 90698 |
|
683 |
649 |
$990.88 |
| 83655 |
|
77 |
76 |
$660.00 |
| 90715 |
|
117 |
115 |
$646.62 |
| 90656 |
|
32 |
32 |
$626.39 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,813 |
7,753 |
$600.46 |
| 0081A |
|
15 |
15 |
$600.00 |
| 99383 |
|
14 |
14 |
$566.34 |
| 0002A |
|
13 |
13 |
$520.00 |
| 90633 |
|
419 |
409 |
$505.92 |
| 96127 |
|
2,695 |
2,660 |
$477.77 |
| 90696 |
|
69 |
68 |
$275.24 |
| 99381 |
|
17 |
16 |
$264.00 |
| 90680 |
|
328 |
318 |
$189.15 |
| 99173 |
|
1,253 |
1,253 |
$189.01 |
| 90716 |
|
24 |
24 |
$150.98 |
| 90700 |
|
37 |
37 |
$65.76 |
| 90744 |
|
241 |
232 |
$53.72 |
| 90648 |
|
12 |
12 |
$17.63 |
| 91300 |
|
215 |
208 |
$1.00 |
| 91307 |
|
265 |
251 |
$1.00 |
| 99080 |
|
373 |
373 |
$0.00 |
| 91308 |
|
33 |
31 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
20 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| 87081 |
|
14 |
14 |
$0.00 |