| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,395 |
2,159 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,437 |
1,322 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,654 |
2,469 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
878 |
857 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
818 |
740 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
319 |
309 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,835 |
1,771 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
113 |
107 |
$11K |
| 99173 |
|
567 |
548 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
482 |
461 |
$5K |
| 92552 |
|
459 |
447 |
$5K |
| 99381 |
|
39 |
38 |
$4K |
| 92283 |
|
290 |
282 |
$4K |
| 36416 |
|
1,285 |
1,215 |
$3K |
| 99000 |
|
1,209 |
1,133 |
$3K |
| 85014 |
|
1,117 |
1,078 |
$3K |
| H0049 |
Alcohol and/or drug screening |
185 |
176 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
88 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
53 |
$845.40 |
| 90670 |
|
30 |
29 |
$450.00 |
| 96127 |
|
25 |
25 |
$287.13 |
| 90698 |
|
21 |
20 |
$238.10 |
| 90686 |
|
223 |
208 |
$235.34 |
| 90680 |
|
18 |
17 |
$202.58 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
50 |
$148.04 |
| 90461 |
|
84 |
77 |
$112.50 |
| 90744 |
|
12 |
12 |
$28.59 |
| 90633 |
|
15 |
15 |
$0.00 |
| 90710 |
|
22 |
21 |
$0.00 |