| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,750 |
6,221 |
$627K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,788 |
7,227 |
$491K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,385 |
2,385 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,301 |
2,300 |
$187K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,689 |
1,689 |
$154K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,630 |
1,617 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,703 |
4,964 |
$96K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,813 |
3,809 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,262 |
2,192 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
482 |
477 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,436 |
1,432 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
510 |
509 |
$6K |
| 96127 |
|
861 |
860 |
$3K |
| 0001A |
|
64 |
64 |
$3K |
| 0071A |
|
61 |
61 |
$2K |
| 0072A |
|
46 |
46 |
$2K |
| 0002A |
|
34 |
34 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
60 |
58 |
$694.45 |
| 81002 |
|
235 |
225 |
$536.09 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
25 |
25 |
$323.65 |
| 83655 |
|
15 |
15 |
$160.35 |
| 99000 |
|
2,545 |
2,458 |
$51.00 |
| 90474 |
|
12 |
12 |
$38.70 |
| 96160 |
|
16 |
16 |
$35.96 |
| 85018 |
|
12 |
12 |
$26.16 |
| 90671 |
|
15 |
15 |
$0.08 |
| 90707 |
|
466 |
466 |
$0.00 |
| 90461 |
|
1,710 |
1,644 |
$0.00 |
| 90633 |
|
851 |
851 |
$0.00 |
| 99173 |
|
709 |
709 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
164 |
164 |
$0.00 |
| 90670 |
|
1,172 |
1,171 |
$0.00 |
| 90734 |
|
172 |
172 |
$0.00 |
| 99072 |
|
90 |
85 |
$0.00 |
| 90715 |
|
83 |
83 |
$0.00 |
| 90685 |
|
44 |
44 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 91300 |
|
50 |
42 |
$0.00 |
| 90716 |
|
330 |
329 |
$0.00 |
| 94760 |
|
829 |
756 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
356 |
348 |
$0.00 |
| 90680 |
|
586 |
586 |
$0.00 |
| 90723 |
|
270 |
269 |
$0.00 |
| 90698 |
|
302 |
302 |
$0.00 |
| 90619 |
|
83 |
83 |
$0.00 |
| 90686 |
|
1,110 |
1,110 |
$0.00 |
| 90651 |
|
152 |
152 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90656 |
|
30 |
30 |
$0.00 |