| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,826 |
3,388 |
$234K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,170 |
1,785 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
611 |
440 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
398 |
365 |
$41K |
| T1015 |
Clinic visit/encounter, all-inclusive |
411 |
397 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
412 |
318 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
441 |
329 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
932 |
595 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
157 |
132 |
$13K |
| 85018 |
|
2,311 |
1,820 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
313 |
148 |
$3K |
| 81002 |
|
1,043 |
812 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
488 |
299 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
135 |
$1K |
| 92551 |
|
1,158 |
871 |
$666.34 |
| 96127 |
|
162 |
156 |
$646.80 |
| 0071A |
|
12 |
12 |
$541.00 |
| 96160 |
|
137 |
131 |
$533.88 |
| 99188 |
|
26 |
26 |
$457.34 |
| 99173 |
|
1,050 |
781 |
$334.23 |
| 96161 |
|
14 |
14 |
$55.30 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
713 |
547 |
$0.44 |
| 90686 |
|
397 |
358 |
$0.01 |
| 90651 |
|
28 |
28 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90620 |
|
16 |
15 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
49 |
33 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90670 |
|
122 |
86 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
64 |
46 |
$0.00 |
| 90648 |
|
54 |
25 |
$0.00 |
| 90734 |
|
15 |
13 |
$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) |
13 |
12 |
$0.00 |
| 90671 |
|
42 |
42 |
$0.00 |