| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,000 |
21,993 |
$1.01M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,853 |
9,383 |
$323K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,721 |
4,302 |
$248K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,159 |
2,897 |
$206K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,830 |
3,563 |
$202K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,408 |
3,567 |
$193K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,019 |
1,837 |
$116K |
| 92552 |
|
7,228 |
6,502 |
$78K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,573 |
8,507 |
$69K |
| 99460 |
|
1,090 |
922 |
$65K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,076 |
916 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,270 |
1,162 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,829 |
1,694 |
$21K |
| 83655 |
|
904 |
818 |
$9K |
| 99462 |
|
331 |
247 |
$8K |
| 99173 |
|
2,444 |
2,313 |
$5K |
| 36416 |
|
2,012 |
1,686 |
$4K |
| 90670 |
|
3,557 |
2,665 |
$3K |
| 90633 |
|
1,523 |
1,171 |
$3K |
| 85018 |
|
1,784 |
1,625 |
$3K |
| 81002 |
|
1,479 |
1,248 |
$3K |
| 90698 |
|
3,918 |
2,912 |
$3K |
| 96127 |
|
640 |
599 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
95 |
$2K |
| 90680 |
|
1,925 |
1,425 |
$1K |
| 90651 |
|
610 |
475 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
682 |
533 |
$1K |
| 90744 |
|
1,370 |
1,002 |
$1K |
| 90734 |
|
582 |
437 |
$581.60 |
| 90658 |
|
1,974 |
1,524 |
$449.98 |
| 90655 |
|
587 |
479 |
$356.00 |
| 90707 |
|
249 |
185 |
$244.75 |
| 90716 |
|
233 |
178 |
$181.75 |
| 90715 |
|
122 |
86 |
$121.60 |
| 90710 |
|
288 |
237 |
$100.00 |
| 90696 |
|
255 |
210 |
$80.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
13 |
$19.67 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
456 |
444 |
$0.00 |
| 90461 |
|
440 |
314 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
202 |
197 |
$0.00 |