| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,933 |
14,961 |
$723K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,817 |
4,499 |
$214K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,265 |
5,715 |
$111K |
| 99401 |
|
7,928 |
6,810 |
$99K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,647 |
3,540 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,357 |
1,341 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,214 |
1,191 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,154 |
1,144 |
$50K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
163 |
163 |
$47K |
| 92587 |
|
2,130 |
1,889 |
$38K |
| 36410 |
|
2,301 |
1,987 |
$31K |
| 90461 |
|
1,929 |
1,852 |
$27K |
| 92588 |
|
1,004 |
970 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
668 |
647 |
$26K |
| 96111 |
|
438 |
437 |
$22K |
| 99402 |
|
2,076 |
1,988 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,537 |
1,472 |
$20K |
| 95930 |
|
270 |
270 |
$9K |
| S9470 |
Nutritional counseling, dietitian visit |
512 |
458 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
221 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
111 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$7K |
| 90651 |
|
204 |
162 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,218 |
2,160 |
$4K |
| 94060 |
|
86 |
82 |
$4K |
| 90686 |
|
996 |
819 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
185 |
176 |
$2K |
| 96127 |
|
623 |
573 |
$2K |
| 90734 |
|
86 |
86 |
$2K |
| 86413 |
|
392 |
253 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
82 |
$1K |
| 36400 |
|
81 |
80 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$1K |
| 81002 |
|
3,130 |
3,010 |
$1K |
| 90670 |
|
162 |
145 |
$905.72 |
| 99173 |
|
1,628 |
1,395 |
$672.56 |
| 90658 |
|
260 |
259 |
$670.21 |
| 90649 |
|
49 |
49 |
$661.96 |
| 87110 |
|
21 |
21 |
$267.80 |
| 90710 |
|
14 |
12 |
$262.37 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
88 |
82 |
$216.84 |
| 96160 |
|
177 |
137 |
$216.66 |
| 90715 |
|
35 |
31 |
$198.69 |
| 90633 |
|
153 |
129 |
$184.34 |
| 83655 |
|
82 |
82 |
$150.73 |
| 90656 |
|
84 |
84 |
$84.17 |
| 90700 |
|
13 |
12 |
$71.23 |
| 90648 |
|
54 |
40 |
$37.88 |
| 97802 |
|
12 |
12 |
$20.95 |
| 90657 |
|
57 |
57 |
$17.03 |
| 99000 |
|
738 |
589 |
$11.25 |
| 99051 |
|
17 |
16 |
$5.00 |
| 3008F |
|
2,235 |
2,176 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
36 |
36 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |
| 87081 |
|
131 |
105 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
98 |
97 |
$0.00 |
| 81005 |
|
46 |
45 |
$0.00 |
| 90723 |
|
15 |
14 |
$0.00 |
| 2001F |
|
47 |
47 |
$0.00 |
| 2000F |
|
43 |
43 |
$0.00 |
| 4120F |
|
235 |
231 |
$0.00 |
| 90681 |
|
14 |
13 |
$0.00 |
| 92015 |
Determination of refractive state |
52 |
39 |
$0.00 |