| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,420 |
7,192 |
$606K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,556 |
5,883 |
$223K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,735 |
1,549 |
$182K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,737 |
1,461 |
$179K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,524 |
1,430 |
$168K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
835 |
778 |
$95K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,141 |
2,912 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,273 |
1,144 |
$51K |
| 96127 |
|
2,302 |
2,148 |
$42K |
| 36416 |
|
4,019 |
3,538 |
$11K |
| 92552 |
|
1,251 |
963 |
$10K |
| 99173 |
|
1,610 |
1,282 |
$8K |
| 99442 |
|
84 |
78 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$37.44 |
| 90677 |
|
59 |
39 |
$0.08 |
| 90686 |
|
2,335 |
2,189 |
$0.05 |
| 90670 |
|
784 |
709 |
$0.01 |
| 85018 |
|
4,155 |
3,678 |
$0.00 |
| 90733 |
|
72 |
72 |
$0.00 |
| 90698 |
|
416 |
401 |
$0.00 |
| D1310 |
|
2,690 |
2,586 |
$0.00 |
| 90651 |
|
386 |
356 |
$0.00 |
| 90688 |
|
43 |
43 |
$0.00 |
| 90697 |
|
96 |
89 |
$0.00 |
| 90744 |
|
83 |
73 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
48 |
46 |
$0.00 |
| 90680 |
|
76 |
74 |
$0.00 |
| 90696 |
|
20 |
20 |
$0.00 |
| 90716 |
|
33 |
26 |
$0.00 |
| 81002 |
|
3,079 |
2,664 |
$0.00 |
| 90633 |
|
184 |
177 |
$0.00 |
| 90710 |
|
157 |
148 |
$0.00 |
| 90671 |
|
129 |
125 |
$0.00 |
| 90621 |
|
82 |
81 |
$0.00 |
| 90715 |
|
56 |
54 |
$0.00 |
| 90707 |
|
33 |
26 |
$0.00 |
| 90700 |
|
35 |
32 |
$0.00 |
| 90685 |
|
61 |
53 |
$0.00 |
| 90713 |
|
27 |
26 |
$0.00 |
| 90648 |
|
30 |
28 |
$0.00 |
| 90734 |
|
32 |
30 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |