| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,597 |
6,875 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,350 |
3,000 |
$168K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,183 |
1,164 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,070 |
1,042 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
803 |
795 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
843 |
831 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,179 |
2,603 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,162 |
828 |
$10K |
| 90461 |
|
1,664 |
1,380 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
211 |
203 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
193 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
379 |
176 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
296 |
284 |
$4K |
| 99381 |
|
45 |
41 |
$3K |
| 83655 |
|
276 |
274 |
$3K |
| 96160 |
|
848 |
838 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
88 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
124 |
100 |
$1K |
| 99001 |
|
254 |
249 |
$550.80 |
| 69210 |
|
27 |
18 |
$427.15 |
| S8301 |
Infection control supplies, not otherwise specified |
254 |
249 |
$282.56 |
| 90619 |
|
94 |
90 |
$183.67 |
| 86580 |
|
12 |
12 |
$88.51 |
| 81002 |
|
15 |
12 |
$24.85 |
| 90680 |
|
416 |
412 |
$0.00 |
| 90744 |
|
182 |
180 |
$0.00 |
| 90697 |
|
129 |
128 |
$0.00 |
| 90698 |
|
458 |
452 |
$0.00 |
| 90651 |
|
288 |
285 |
$0.00 |
| 90686 |
|
680 |
633 |
$0.00 |
| 90696 |
|
63 |
59 |
$0.00 |
| 90670 |
|
727 |
712 |
$0.00 |
| 90710 |
|
313 |
302 |
$0.00 |
| 99173 |
|
1,441 |
1,393 |
$0.00 |
| 90633 |
|
349 |
339 |
$0.00 |
| 90715 |
|
72 |
71 |
$0.00 |
| 90734 |
|
158 |
157 |
$0.00 |