| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,326 |
17,962 |
$845K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,431 |
2,355 |
$164K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,495 |
2,433 |
$152K |
| 99442 |
|
4,045 |
3,429 |
$145K |
| 99401 |
|
4,876 |
3,982 |
$130K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,942 |
9,534 |
$122K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,401 |
3,370 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,498 |
1,460 |
$84K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,510 |
4,375 |
$76K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,449 |
2,382 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
849 |
833 |
$44K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
515 |
480 |
$32K |
| 99443 |
|
503 |
463 |
$31K |
| 90621 |
|
467 |
460 |
$29K |
| 3008F |
|
5,788 |
5,597 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
262 |
244 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,231 |
5,176 |
$19K |
| 90651 |
|
188 |
185 |
$16K |
| 90688 |
|
660 |
645 |
$10K |
| 90619 |
|
91 |
90 |
$9K |
| 95117 |
|
1,177 |
685 |
$6K |
| 90677 |
|
28 |
28 |
$6K |
| 90716 |
|
212 |
194 |
$4K |
| 90734 |
|
126 |
125 |
$3K |
| 90670 |
|
270 |
259 |
$3K |
| 90661 |
|
216 |
210 |
$2K |
| 90715 |
|
128 |
128 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
13 |
13 |
$2K |
| 90707 |
|
160 |
143 |
$1K |
| 90713 |
|
408 |
393 |
$1K |
| 90700 |
|
583 |
563 |
$1K |
| 90686 |
|
1,302 |
1,229 |
$1K |
| 95115 |
|
221 |
108 |
$1K |
| 90656 |
|
32 |
30 |
$598.96 |
| 90633 |
|
145 |
138 |
$401.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
114 |
113 |
$362.92 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$327.61 |
| 90744 |
|
66 |
64 |
$172.46 |
| 86580 |
|
42 |
42 |
$152.56 |
| 90674 |
|
51 |
51 |
$127.45 |
| 90648 |
|
204 |
198 |
$95.97 |
| 90680 |
|
41 |
39 |
$87.88 |
| 90647 |
|
109 |
109 |
$0.00 |