| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,112 |
7,458 |
$493K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,068 |
5,653 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,430 |
1,277 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
909 |
861 |
$81K |
| 92551 |
|
4,784 |
4,493 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
508 |
492 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
486 |
362 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
376 |
334 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,049 |
1,807 |
$32K |
| 99173 |
|
2,980 |
2,793 |
$24K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,531 |
1,450 |
$16K |
| 94760 |
|
2,248 |
2,053 |
$4K |
| 90480 |
|
84 |
78 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
191 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
156 |
150 |
$3K |
| 90688 |
|
2,360 |
2,188 |
$2K |
| 0071A |
|
60 |
39 |
$2K |
| 0072A |
|
30 |
30 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
45 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
31 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
134 |
115 |
$1K |
| 0124A |
|
12 |
12 |
$741.24 |
| 36416 |
|
437 |
278 |
$738.50 |
| 90658 |
|
134 |
133 |
$734.80 |
| 91320 |
|
15 |
15 |
$405.44 |
| 90461 |
|
832 |
781 |
$351.00 |
| 96127 |
|
34 |
32 |
$300.24 |
| 99050 |
|
50 |
39 |
$277.13 |
| 87081 |
|
25 |
24 |
$201.10 |
| 99000 |
|
166 |
134 |
$77.35 |
| 90651 |
|
42 |
39 |
$6.50 |
| 91307 |
|
154 |
127 |
$0.00 |
| 90648 |
|
15 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90670 |
|
72 |
64 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| 90734 |
|
15 |
12 |
$0.00 |
| 91312 |
|
14 |
14 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
15 |
13 |
$0.00 |
| 90687 |
|
29 |
29 |
$0.00 |