| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,224 |
7,946 |
$689K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
692 |
692 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
691 |
689 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
550 |
550 |
$48K |
| 92552 |
|
1,774 |
1,773 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,453 |
3,415 |
$24K |
| 99401 |
|
2,989 |
2,971 |
$17K |
| 97802 |
|
3,086 |
3,041 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
79 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
154 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,182 |
2,139 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
55 |
$5K |
| 99441 |
|
125 |
123 |
$4K |
| 99173 |
|
1,019 |
1,014 |
$3K |
| 92551 |
|
402 |
401 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
822 |
814 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,245 |
2,165 |
$2K |
| 90662 |
|
46 |
46 |
$1K |
| 90461 |
|
1,300 |
1,285 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99177 |
|
1,737 |
1,727 |
$972.32 |
| 90686 |
|
1,695 |
1,679 |
$965.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
265 |
260 |
$957.52 |
| 90620 |
|
12 |
12 |
$747.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
51 |
$611.50 |
| 90677 |
|
13 |
13 |
$500.00 |
| 96127 |
|
136 |
136 |
$403.03 |
| 36400 |
|
15 |
14 |
$263.79 |
| 90473 |
|
30 |
29 |
$91.40 |
| 90734 |
|
111 |
111 |
$0.00 |
| 90670 |
|
123 |
122 |
$0.00 |
| 90633 |
|
123 |
123 |
$0.00 |
| 90707 |
|
57 |
57 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 90651 |
|
103 |
103 |
$0.00 |
| 90716 |
|
69 |
69 |
$0.00 |
| 90696 |
|
34 |
34 |
$0.00 |
| 90698 |
|
27 |
26 |
$0.00 |
| 36416 |
|
28 |
28 |
$0.00 |