| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,605 |
8,066 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,273 |
1,014 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
350 |
339 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,950 |
2,796 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
132 |
$15K |
| 90686 |
|
2,552 |
2,451 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
112 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
214 |
$6K |
| 90670 |
|
747 |
735 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
113 |
108 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
358 |
336 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
590 |
569 |
$3K |
| 90698 |
|
235 |
231 |
$2K |
| 90680 |
|
593 |
585 |
$2K |
| 90633 |
|
648 |
627 |
$2K |
| 90461 |
|
223 |
206 |
$2K |
| 90651 |
|
568 |
558 |
$1K |
| 90744 |
|
117 |
117 |
$1K |
| 0072A |
|
66 |
66 |
$1K |
| 0071A |
|
42 |
42 |
$1K |
| 90734 |
|
77 |
76 |
$640.00 |
| 90700 |
|
82 |
82 |
$528.00 |
| 96127 |
|
284 |
246 |
$400.72 |
| 90715 |
|
272 |
261 |
$360.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$284.46 |
| 90648 |
|
67 |
61 |
$176.00 |
| 90480 |
|
45 |
42 |
$140.80 |
| 90707 |
|
26 |
26 |
$130.00 |
| 99050 |
|
13 |
13 |
$130.00 |
| 90696 |
|
47 |
47 |
$121.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
13 |
$99.97 |
| 99072 |
|
1,905 |
1,758 |
$0.00 |
| 90671 |
|
133 |
131 |
$0.00 |
| 3210F |
|
55 |
42 |
$0.00 |
| 91320 |
|
47 |
47 |
$0.00 |
| 90710 |
|
56 |
56 |
$0.00 |
| 90619 |
|
574 |
559 |
$0.00 |
| 3008F |
|
1,233 |
1,183 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
167 |
166 |
$0.00 |
| 90697 |
|
261 |
254 |
$0.00 |
| 90677 |
|
320 |
297 |
$0.00 |
| 91319 |
|
27 |
19 |
$0.00 |
| 90656 |
|
411 |
408 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 0154A |
|
12 |
12 |
$0.00 |
| 0074A |
|
16 |
16 |
$0.00 |