| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,881 |
3,835 |
$189K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,932 |
2,337 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,204 |
1,124 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,334 |
1,003 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
966 |
919 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
467 |
463 |
$39K |
| 90461 |
|
1,956 |
1,484 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
180 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
68 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
114 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
473 |
435 |
$4K |
| 90670 |
|
851 |
625 |
$3K |
| S9470 |
Nutritional counseling, dietitian visit |
3,881 |
3,456 |
$2K |
| 99460 |
|
15 |
15 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
329 |
140 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
204 |
196 |
$1K |
| 92551 |
|
2,114 |
1,717 |
$739.26 |
| 91301 |
|
27 |
27 |
$600.00 |
| 90647 |
|
460 |
379 |
$462.09 |
| 83655 |
|
86 |
83 |
$384.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
39 |
$362.56 |
| 90686 |
|
175 |
172 |
$324.78 |
| 99000 |
|
436 |
355 |
$296.57 |
| 86328 |
|
15 |
15 |
$231.73 |
| 90723 |
|
581 |
437 |
$123.74 |
| 85018 |
|
96 |
90 |
$78.10 |
| 90633 |
|
144 |
140 |
$69.70 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
34 |
$35.00 |
| 99173 |
|
2,087 |
1,688 |
$29.53 |
| 90672 |
|
12 |
12 |
$23.70 |
| 90681 |
|
86 |
85 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90648 |
|
17 |
17 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,023 |
1,796 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 0012A |
|
14 |
14 |
$0.00 |
| 90677 |
|
146 |
118 |
$0.00 |
| 0011A |
|
13 |
13 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |