| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,080 |
7,612 |
$486K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,667 |
6,625 |
$239K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,126 |
2,126 |
$161K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,502 |
3,072 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,985 |
1,981 |
$137K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,616 |
1,616 |
$122K |
| 90461 |
|
2,591 |
2,588 |
$122K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
939 |
939 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
926 |
898 |
$77K |
| 92552 |
|
3,437 |
3,437 |
$74K |
| 99188 |
|
3,282 |
3,280 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,067 |
5,064 |
$29K |
| 92567 |
|
1,802 |
1,541 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,096 |
3,027 |
$23K |
| D1206 |
Topical application of fluoride varnish |
816 |
814 |
$20K |
| 99401 |
|
653 |
651 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
546 |
517 |
$7K |
| 81002 |
|
3,618 |
3,610 |
$7K |
| 94664 |
|
603 |
592 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
176 |
175 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
240 |
149 |
$2K |
| 99173 |
|
2,572 |
2,570 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| 96127 |
|
804 |
804 |
$736.98 |
| 90651 |
|
198 |
198 |
$717.12 |
| 90686 |
|
950 |
949 |
$216.74 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$192.00 |
| 90671 |
|
512 |
512 |
$124.40 |
| 86580 |
|
13 |
13 |
$65.00 |
| S9441 |
Asthma education, non-physician provider, per session |
43 |
43 |
$44.32 |
| 90688 |
|
75 |
75 |
$40.40 |
| 90697 |
|
143 |
143 |
$1.27 |
| 90670 |
|
966 |
965 |
$0.55 |
| 90661 |
|
105 |
105 |
$0.53 |
| 90619 |
|
84 |
84 |
$0.28 |
| 90647 |
|
707 |
707 |
$0.14 |
| 90723 |
|
555 |
554 |
$0.09 |
| 90685 |
|
293 |
293 |
$0.05 |
| 90633 |
|
592 |
592 |
$0.03 |
| 90680 |
|
811 |
809 |
$0.03 |
| 90734 |
|
17 |
17 |
$0.00 |
| 90710 |
|
52 |
52 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 99080 |
|
113 |
14 |
$0.00 |
| 90687 |
|
19 |
19 |
$0.00 |
| 90674 |
|
388 |
388 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 94760 |
|
45 |
41 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 99429 |
|
27 |
16 |
$0.00 |
| 90698 |
|
30 |
30 |
$0.00 |
| 2016F |
|
17 |
17 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |