| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,248 |
6,396 |
$257K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,776 |
1,747 |
$138K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,604 |
1,556 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,281 |
1,269 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,594 |
1,511 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,022 |
3,710 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
493 |
484 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,254 |
3,575 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,374 |
1,320 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
989 |
470 |
$12K |
| 90461 |
|
2,557 |
2,283 |
$10K |
| 92551 |
|
2,320 |
2,277 |
$9K |
| 90474 |
|
798 |
771 |
$7K |
| 99381 |
|
94 |
86 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
214 |
212 |
$2K |
| 99383 |
|
25 |
25 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 94760 |
|
1,119 |
875 |
$952.43 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$278.54 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
15 |
$213.92 |
| 90677 |
|
287 |
272 |
$1.07 |
| 90697 |
|
377 |
367 |
$0.94 |
| 90671 |
|
171 |
170 |
$0.59 |
| 90619 |
|
91 |
89 |
$0.38 |
| 99173 |
|
2,943 |
2,821 |
$0.00 |
| 90672 |
|
34 |
31 |
$0.00 |
| 90633 |
|
702 |
671 |
$0.00 |
| 90707 |
|
81 |
79 |
$0.00 |
| 90670 |
|
1,040 |
985 |
$0.00 |
| 90648 |
|
41 |
40 |
$0.00 |
| 90734 |
|
46 |
41 |
$0.00 |
| 90700 |
|
28 |
26 |
$0.00 |
| 90710 |
|
54 |
52 |
$0.00 |
| 90715 |
|
55 |
52 |
$0.00 |
| 3008F |
|
1,796 |
1,762 |
$0.00 |
| 90680 |
|
938 |
880 |
$0.00 |
| 90698 |
|
553 |
521 |
$0.00 |
| 90651 |
|
198 |
190 |
$0.00 |
| 96127 |
|
781 |
752 |
$0.00 |
| 90744 |
|
285 |
266 |
$0.00 |
| 90686 |
|
1,263 |
1,235 |
$0.00 |
| 90716 |
|
80 |
78 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |