| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,901 |
2,660 |
$195K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,528 |
2,448 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,022 |
1,009 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
839 |
781 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
804 |
790 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
604 |
600 |
$62K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
822 |
796 |
$27K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
616 |
604 |
$13K |
| 99381 |
|
91 |
90 |
$9K |
| 99383 |
|
68 |
68 |
$7K |
| 99188 |
|
497 |
495 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
275 |
268 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
472 |
464 |
$5K |
| 99173 |
|
559 |
549 |
$4K |
| 92587 |
|
599 |
595 |
$4K |
| 99384 |
|
27 |
27 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
373 |
373 |
$3K |
| 99382 |
|
15 |
15 |
$2K |
| 69210 |
|
107 |
104 |
$2K |
| 97802 |
|
509 |
497 |
$2K |
| 92567 |
|
89 |
88 |
$1K |
| 90670 |
|
689 |
666 |
$995.32 |
| 90698 |
|
454 |
433 |
$663.01 |
| 90744 |
|
274 |
265 |
$655.11 |
| 90710 |
|
16 |
15 |
$597.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$472.89 |
| 90734 |
|
49 |
48 |
$426.84 |
| 90672 |
|
29 |
29 |
$426.24 |
| 81002 |
|
218 |
215 |
$415.44 |
| 90651 |
|
245 |
239 |
$333.30 |
| 90686 |
|
817 |
807 |
$222.72 |
| 90713 |
|
57 |
57 |
$104.41 |
| A7015 |
Aerosol mask, used with dme nebulizer |
49 |
49 |
$54.50 |
| 90633 |
|
242 |
239 |
$33.03 |
| 99070 |
|
14 |
14 |
$5.00 |
| 90680 |
|
325 |
313 |
$0.00 |
| 99172 |
|
23 |
23 |
$0.00 |
| 90716 |
|
105 |
105 |
$0.00 |
| 90700 |
|
123 |
120 |
$0.00 |
| 90707 |
|
93 |
93 |
$0.00 |
| 90621 |
|
14 |
14 |
$0.00 |
| 90648 |
|
38 |
37 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |