| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,118 |
3,887 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,796 |
1,685 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,393 |
2,489 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
243 |
239 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
147 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
80 |
$5K |
| 90688 |
|
891 |
874 |
$5K |
| 99051 |
|
229 |
212 |
$4K |
| 90698 |
|
296 |
292 |
$2K |
| 90670 |
|
664 |
660 |
$2K |
| 99188 |
|
126 |
126 |
$2K |
| 90687 |
|
341 |
338 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
79 |
$1K |
| 92551 |
|
614 |
594 |
$1K |
| 90680 |
|
670 |
653 |
$910.00 |
| 99173 |
|
371 |
367 |
$651.04 |
| 90633 |
|
383 |
373 |
$630.00 |
| 90461 |
|
124 |
104 |
$610.00 |
| 90716 |
|
151 |
145 |
$390.00 |
| 90707 |
|
158 |
152 |
$370.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
45 |
$324.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$300.00 |
| 99000 |
|
686 |
632 |
$225.36 |
| 96127 |
|
56 |
48 |
$124.30 |
| 99072 |
|
1,198 |
1,133 |
$91.80 |
| 99177 |
|
14 |
13 |
$40.56 |
| 0071A |
|
18 |
18 |
$40.00 |
| 96160 |
|
25 |
24 |
$20.88 |
| 96161 |
|
13 |
12 |
$3.83 |
| 0072A |
|
22 |
22 |
$0.00 |
| 90651 |
|
84 |
79 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
731 |
688 |
$0.00 |
| 90677 |
|
405 |
375 |
$0.00 |
| 90697 |
|
637 |
616 |
$0.00 |
| 3008F |
|
38 |
36 |
$0.00 |
| 90686 |
|
119 |
118 |
$0.00 |
| 90619 |
|
61 |
55 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 90656 |
|
207 |
207 |
$0.00 |
| 90710 |
|
32 |
31 |
$0.00 |
| 91321 |
|
41 |
33 |
$0.00 |