| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,106 |
8,060 |
$482K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,585 |
4,166 |
$354K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
893 |
759 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,208 |
2,089 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
232 |
192 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
177 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
988 |
801 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
124 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
276 |
252 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
101 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
450 |
281 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
253 |
207 |
$5K |
| 96127 |
|
933 |
825 |
$5K |
| 81002 |
|
1,065 |
950 |
$3K |
| 96160 |
|
795 |
651 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
179 |
142 |
$1K |
| 99173 |
|
1,104 |
965 |
$1K |
| 81025 |
|
79 |
73 |
$520.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
47 |
38 |
$438.72 |
| 97802 |
|
313 |
257 |
$411.34 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
558 |
474 |
$403.24 |
| 90686 |
|
260 |
203 |
$221.59 |
| 96161 |
|
61 |
49 |
$120.39 |
| 90474 |
|
16 |
12 |
$117.71 |
| 36415 |
Collection of venous blood by venipuncture |
116 |
109 |
$103.95 |
| 90461 |
|
163 |
135 |
$67.41 |
| 92551 |
|
14 |
13 |
$49.92 |
| 90672 |
|
17 |
13 |
$43.86 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
30 |
29 |
$28.08 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90670 |
|
49 |
44 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 3008F |
|
678 |
575 |
$0.00 |
| 99000 |
|
21 |
20 |
$0.00 |
| 90680 |
|
20 |
13 |
$0.00 |
| 36416 |
|
114 |
95 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 90647 |
|
16 |
12 |
$0.00 |