| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,757 |
11,962 |
$843K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,141 |
4,138 |
$343K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,997 |
3,997 |
$327K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,112 |
3,111 |
$272K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,591 |
3,533 |
$253K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,345 |
10,291 |
$226K |
| 92551 |
|
7,047 |
7,043 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
776 |
751 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,360 |
2,358 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
143 |
143 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
671 |
665 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
321 |
310 |
$5K |
| 36406 |
|
544 |
543 |
$5K |
| 99381 |
|
41 |
41 |
$3K |
| 99496 |
|
25 |
25 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
254 |
130 |
$3K |
| 85018 |
|
1,012 |
1,012 |
$2K |
| 99383 |
|
27 |
27 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 98966 |
|
860 |
833 |
$1K |
| 81002 |
|
285 |
283 |
$781.46 |
| 87428 |
|
14 |
14 |
$768.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
55 |
$588.10 |
| 81025 |
|
72 |
71 |
$516.52 |
| 90620 |
|
704 |
704 |
$180.20 |
| 90686 |
|
3,232 |
3,231 |
$61.08 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$32.87 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,705 |
5,694 |
$25.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,279 |
4,276 |
$25.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
1,305 |
1,286 |
$0.59 |
| G9002 |
Coordinated care fee, maintenance rate |
1,073 |
1,029 |
$0.51 |
| 90723 |
|
2,132 |
2,131 |
$0.00 |
| 90619 |
|
322 |
322 |
$0.00 |
| 90696 |
|
344 |
344 |
$0.00 |
| 90647 |
|
2,173 |
2,172 |
$0.00 |
| 90651 |
|
982 |
982 |
$0.00 |
| 90716 |
|
1,469 |
1,469 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,084 |
6,076 |
$0.00 |
| 90680 |
|
1,801 |
1,800 |
$0.00 |
| 98967 |
|
71 |
68 |
$0.00 |
| 90677 |
|
206 |
206 |
$0.00 |
| 90688 |
|
29 |
29 |
$0.00 |
| 90461 |
|
3,572 |
3,569 |
$0.00 |
| 90700 |
|
400 |
400 |
$0.00 |
| 90670 |
|
2,402 |
2,401 |
$0.00 |
| 90633 |
|
1,213 |
1,212 |
$0.00 |
| 90707 |
|
1,501 |
1,501 |
$0.00 |
| 90715 |
|
295 |
295 |
$0.00 |
| 90734 |
|
876 |
876 |
$0.00 |
| 90671 |
|
156 |
156 |
$0.00 |