| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,323 |
8,641 |
$470K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,897 |
3,442 |
$353K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,911 |
2,643 |
$271K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,966 |
2,433 |
$235K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,575 |
2,189 |
$156K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,298 |
6,688 |
$153K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,650 |
1,528 |
$148K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,411 |
1,791 |
$34K |
| 99381 |
|
223 |
214 |
$19K |
| 99188 |
|
2,160 |
2,012 |
$10K |
| 90670 |
|
2,248 |
1,999 |
$5K |
| 83655 |
|
1,621 |
1,330 |
$4K |
| 85018 |
|
7,960 |
7,393 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
560 |
501 |
$3K |
| 90716 |
|
873 |
737 |
$2K |
| 99382 |
|
25 |
25 |
$2K |
| 90707 |
|
843 |
710 |
$425.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
141 |
136 |
$405.50 |
| 90633 |
|
1,199 |
1,024 |
$323.12 |
| 90658 |
|
609 |
570 |
$222.62 |
| 81000 |
|
221 |
211 |
$189.10 |
| 90686 |
|
199 |
193 |
$164.22 |
| 90648 |
|
1,181 |
1,002 |
$151.16 |
| 90700 |
|
283 |
194 |
$77.40 |
| 90696 |
|
59 |
46 |
$49.35 |
| 90657 |
|
376 |
352 |
$42.66 |
| 90651 |
|
667 |
608 |
$20.00 |
| 90681 |
|
735 |
655 |
$0.00 |
| 90734 |
|
190 |
163 |
$0.00 |
| 90715 |
|
69 |
53 |
$0.00 |
| 90710 |
|
98 |
98 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90671 |
|
37 |
37 |
$0.00 |
| 96127 |
|
227 |
225 |
$0.00 |
| 90723 |
|
788 |
702 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90698 |
|
260 |
199 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
622 |
554 |
$0.00 |
| 90697 |
|
137 |
137 |
$0.00 |
| 90619 |
|
71 |
70 |
$0.00 |
| 90647 |
|
151 |
141 |
$0.00 |
| 90688 |
|
45 |
34 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90744 |
|
35 |
34 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$0.00 |