| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,710 |
9,772 |
$760K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,775 |
5,280 |
$573K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
770 |
767 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
649 |
639 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
460 |
460 |
$43K |
| 90686 |
|
1,176 |
1,173 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
154 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,084 |
1,067 |
$13K |
| 96127 |
|
964 |
835 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
110 |
$5K |
| 99173 |
|
1,993 |
1,981 |
$3K |
| 92551 |
|
414 |
412 |
$3K |
| 90670 |
|
181 |
178 |
$3K |
| 90677 |
|
158 |
153 |
$2K |
| 90680 |
|
124 |
121 |
$2K |
| 99499 |
|
60 |
60 |
$2K |
| 90697 |
|
81 |
79 |
$2K |
| 90723 |
|
84 |
82 |
$1K |
| 90648 |
|
73 |
72 |
$1K |
| 90698 |
|
64 |
64 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
27 |
26 |
$736.50 |
| 90633 |
|
25 |
25 |
$492.25 |
| 99429 |
|
60 |
60 |
$480.75 |
| D9999 |
Unspecified adjunctive procedure, by report |
13 |
12 |
$330.96 |
| 96161 |
|
117 |
111 |
$256.39 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,230 |
1,217 |
$202.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
14 |
$181.84 |
| 90672 |
|
19 |
19 |
$181.26 |
| 90656 |
|
62 |
61 |
$175.34 |
| 69209 |
|
12 |
12 |
$117.48 |
| 90461 |
|
397 |
393 |
$56.61 |
| 90651 |
|
12 |
12 |
$31.44 |
| 1160F |
|
171 |
162 |
$0.00 |
| 1159F |
|
359 |
330 |
$0.00 |
| 99072 |
|
561 |
527 |
$0.00 |