| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,138 |
6,786 |
$476K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,781 |
3,196 |
$302K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,635 |
2,417 |
$219K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,005 |
7,369 |
$139K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,584 |
6,839 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,098 |
968 |
$89K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,250 |
3,996 |
$70K |
| 99173 |
|
2,712 |
2,504 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
177 |
166 |
$17K |
| 99383 |
|
142 |
130 |
$14K |
| 99381 |
|
121 |
112 |
$10K |
| 99382 |
|
79 |
67 |
$7K |
| 90670 |
|
1,577 |
1,544 |
$7K |
| 90474 |
|
606 |
528 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
37 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
114 |
$3K |
| 90671 |
|
446 |
301 |
$2K |
| 90686 |
|
2,085 |
1,878 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
122 |
$2K |
| 96127 |
|
110 |
102 |
$2K |
| 0072A |
|
26 |
26 |
$1K |
| 0071A |
|
37 |
29 |
$1K |
| 90723 |
|
1,380 |
1,253 |
$1K |
| 90680 |
|
1,194 |
1,075 |
$1K |
| 87807 |
|
66 |
63 |
$791.84 |
| 90710 |
|
14 |
13 |
$628.48 |
| 90677 |
|
166 |
163 |
$627.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$519.74 |
| 90633 |
|
267 |
264 |
$518.26 |
| 90648 |
|
1,466 |
1,427 |
$442.25 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
36 |
$418.86 |
| 96380 |
|
14 |
14 |
$294.00 |
| 90651 |
|
13 |
13 |
$260.39 |
| 90656 |
|
241 |
234 |
$211.77 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
95 |
90 |
$156.12 |
| 90688 |
|
351 |
310 |
$131.88 |
| 90685 |
|
261 |
258 |
$90.34 |
| 90716 |
|
52 |
50 |
$0.00 |
| 90647 |
|
112 |
112 |
$0.00 |
| 90696 |
|
16 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90707 |
|
53 |
50 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |