| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,985 |
17,236 |
$1.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,970 |
7,175 |
$924K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,574 |
4,443 |
$841K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,519 |
3,261 |
$604K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,631 |
2,592 |
$407K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,717 |
4,852 |
$274K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,545 |
1,509 |
$268K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,993 |
9,033 |
$86K |
| 99442 |
|
556 |
519 |
$35K |
| 97802 |
|
5,416 |
5,258 |
$27K |
| 90461 |
|
3,698 |
3,300 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,252 |
11,397 |
$19K |
| 99381 |
|
128 |
123 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,743 |
1,556 |
$11K |
| 80061 |
Lipid panel |
4,340 |
4,227 |
$8K |
| 90686 |
|
2,575 |
2,497 |
$8K |
| 81000 |
|
6,303 |
5,963 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,656 |
2,475 |
$5K |
| 90670 |
|
2,296 |
2,216 |
$4K |
| 0001A |
|
138 |
137 |
$4K |
| 99188 |
|
1,090 |
1,056 |
$4K |
| 0072A |
|
98 |
92 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
268 |
267 |
$3K |
| 0071A |
|
99 |
91 |
$3K |
| 96127 |
|
4,907 |
4,694 |
$3K |
| 0002A |
|
95 |
95 |
$3K |
| 90685 |
|
409 |
374 |
$3K |
| 90633 |
|
897 |
858 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 83655 |
|
997 |
971 |
$2K |
| 90648 |
|
210 |
205 |
$1K |
| 0111A |
|
77 |
56 |
$1K |
| 90651 |
|
231 |
226 |
$1K |
| 90716 |
|
714 |
695 |
$745.53 |
| 90696 |
|
79 |
78 |
$603.43 |
| 90707 |
|
660 |
643 |
$488.36 |
| 90734 |
|
102 |
102 |
$461.49 |
| 91300 |
|
138 |
130 |
$389.34 |
| 0112A |
|
12 |
12 |
$272.04 |
| 90680 |
|
1,178 |
1,134 |
$243.45 |
| 90698 |
|
521 |
516 |
$222.04 |
| 90744 |
|
613 |
587 |
$164.06 |
| 91307 |
|
128 |
116 |
$121.88 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,306 |
1,253 |
$109.19 |
| 90620 |
|
81 |
80 |
$24.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,490 |
4,292 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 99174 |
|
183 |
173 |
$0.00 |
| 90697 |
|
39 |
39 |
$0.00 |
| 99408 |
|
309 |
294 |
$0.00 |
| 90700 |
|
179 |
175 |
$0.00 |
| 91311 |
|
135 |
79 |
$0.00 |