| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,548 |
3,997 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
854 |
820 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,397 |
1,280 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
509 |
483 |
$40K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,987 |
1,902 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
561 |
512 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
148 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
261 |
258 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
106 |
100 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
731 |
687 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
255 |
206 |
$5K |
| 92567 |
|
314 |
304 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
151 |
$2K |
| 99385 |
|
39 |
39 |
$2K |
| 90686 |
|
821 |
742 |
$2K |
| 97802 |
|
1,739 |
1,658 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
73 |
$1K |
| 93000 |
|
97 |
93 |
$1K |
| 92587 |
|
119 |
109 |
$898.64 |
| 81002 |
|
400 |
369 |
$868.94 |
| 81025 |
|
137 |
135 |
$732.40 |
| 81005 |
|
433 |
401 |
$654.51 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
13 |
$596.70 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$472.56 |
| 90734 |
|
48 |
45 |
$471.37 |
| 90651 |
|
134 |
127 |
$434.68 |
| 94010 |
|
14 |
14 |
$337.09 |
| 99188 |
|
26 |
25 |
$282.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$170.11 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
12 |
$10.00 |
| 99173 |
|
58 |
58 |
$0.00 |
| 3078F |
|
108 |
104 |
$0.00 |
| 90685 |
|
27 |
26 |
$0.00 |
| 90633 |
|
32 |
26 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 99401 |
|
35 |
34 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 3079F |
|
19 |
13 |
$0.00 |
| 3074F |
|
129 |
117 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 99172 |
|
36 |
34 |
$0.00 |