| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,614 |
3,988 |
$300K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,413 |
1,211 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,263 |
1,200 |
$114K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,430 |
3,199 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,056 |
978 |
$95K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,295 |
2,956 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
238 |
$25K |
| 96127 |
|
1,334 |
1,258 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
905 |
845 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
911 |
855 |
$10K |
| 90671 |
|
346 |
341 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
289 |
280 |
$4K |
| 90651 |
|
44 |
39 |
$3K |
| 90461 |
|
1,809 |
1,713 |
$2K |
| 90670 |
|
271 |
264 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
15 |
$2K |
| 83655 |
|
127 |
116 |
$1K |
| 99174 |
|
215 |
205 |
$1K |
| 90473 |
|
385 |
344 |
$898.60 |
| 90633 |
|
264 |
249 |
$849.77 |
| 90686 |
|
632 |
598 |
$813.85 |
| 90672 |
|
546 |
482 |
$591.66 |
| 85018 |
|
256 |
238 |
$579.43 |
| 90723 |
|
155 |
149 |
$552.05 |
| 90660 |
|
157 |
136 |
$549.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
60 |
$543.00 |
| 36416 |
|
599 |
563 |
$480.86 |
| 99000 |
|
863 |
806 |
$417.71 |
| 96380 |
|
12 |
12 |
$230.89 |
| 90656 |
|
99 |
99 |
$153.46 |
| 90680 |
|
211 |
206 |
$111.68 |
| 99173 |
|
44 |
44 |
$109.12 |
| 94760 |
|
40 |
37 |
$47.53 |
| 90685 |
|
33 |
31 |
$22.31 |
| 90647 |
|
40 |
38 |
$0.00 |
| 90697 |
|
101 |
101 |
$0.00 |
| 99072 |
|
12 |
12 |
$0.00 |