| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,400 |
25,633 |
$1.83M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,796 |
6,728 |
$676K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,629 |
15,392 |
$537K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,960 |
4,884 |
$455K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,627 |
3,587 |
$370K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,375 |
2,273 |
$235K |
| G9153 |
Mapcp demonstration - physician incentive pool |
4,556 |
4,547 |
$198K |
| 90461 |
|
5,696 |
5,279 |
$123K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,526 |
3,433 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
245 |
245 |
$27K |
| 87430 |
|
1,404 |
1,361 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
354 |
170 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
366 |
336 |
$5K |
| 85018 |
|
2,036 |
2,007 |
$5K |
| 87400 |
|
432 |
205 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$1K |
| 81003 |
|
102 |
100 |
$212.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$183.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$182.91 |
| 90686 |
|
2,604 |
2,567 |
$108.97 |
| 90633 |
|
250 |
247 |
$71.90 |
| 90656 |
|
226 |
226 |
$19.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$14.21 |
| 90670 |
|
2,003 |
1,987 |
$0.00 |
| 0469T |
|
16 |
16 |
$0.00 |
| 90680 |
|
795 |
792 |
$0.00 |
| 90723 |
|
834 |
829 |
$0.00 |
| 90647 |
|
831 |
826 |
$0.00 |
| 90677 |
|
57 |
57 |
$0.00 |