| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,993 |
4,826 |
$538K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,162 |
6,320 |
$481K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,611 |
4,473 |
$460K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,141 |
7,842 |
$272K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,330 |
2,233 |
$229K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,160 |
4,928 |
$191K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,024 |
925 |
$93K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,039 |
3,903 |
$73K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
290 |
280 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
197 |
$20K |
| 99188 |
|
1,670 |
1,603 |
$19K |
| 96127 |
|
3,718 |
3,574 |
$17K |
| 0124A |
|
161 |
156 |
$6K |
| 99401 |
|
718 |
688 |
$5K |
| 90461 |
|
100 |
98 |
$4K |
| 0054A |
|
94 |
90 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$2K |
| 0072A |
|
27 |
27 |
$1K |
| 0071A |
|
27 |
26 |
$1K |
| 0121A |
|
24 |
17 |
$583.66 |
| 90651 |
|
724 |
702 |
$487.69 |
| 0073A |
|
13 |
13 |
$441.21 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
12 |
$226.18 |
| 90620 |
|
618 |
588 |
$174.04 |
| 91305 |
|
140 |
136 |
$105.48 |
| 90686 |
|
4,106 |
3,992 |
$54.70 |
| 96161 |
|
36 |
19 |
$53.17 |
| 90710 |
|
74 |
70 |
$32.42 |
| 90734 |
|
483 |
467 |
$10.00 |
| 94760 |
|
12 |
12 |
$7.83 |
| 91307 |
|
152 |
148 |
$0.00 |
| 90674 |
|
234 |
227 |
$0.00 |
| 90619 |
|
108 |
100 |
$0.00 |
| 90698 |
|
70 |
56 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90660 |
|
20 |
20 |
$0.00 |
| 90670 |
|
337 |
316 |
$0.00 |
| 90685 |
|
227 |
208 |
$0.00 |
| 90672 |
|
250 |
241 |
$0.00 |
| 90633 |
|
70 |
69 |
$0.00 |
| 90715 |
|
82 |
80 |
$0.00 |
| 91300 |
|
37 |
33 |
$0.00 |
| 91312 |
|
186 |
174 |
$0.00 |
| 90671 |
|
33 |
32 |
$0.00 |
| 90661 |
|
340 |
337 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |