| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,763 |
15,863 |
$871K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,055 |
2,021 |
$185K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,795 |
1,767 |
$169K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,543 |
1,507 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,147 |
2,042 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
675 |
646 |
$81K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,160 |
4,080 |
$43K |
| 90461 |
|
743 |
715 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
29 |
$2K |
| 90686 |
|
403 |
402 |
$1K |
| 90620 |
|
244 |
239 |
$766.80 |
| 90672 |
|
193 |
193 |
$757.35 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
60 |
56 |
$642.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
44 |
$158.72 |
| 97802 |
|
4,119 |
4,049 |
$70.00 |
| 83655 |
|
21 |
18 |
$68.00 |
| 86328 |
|
46 |
45 |
$21.55 |
| 81003 |
|
15 |
14 |
$18.18 |
| 87428 |
|
196 |
172 |
$0.00 |
| 90723 |
|
173 |
172 |
$0.00 |
| 90647 |
|
325 |
322 |
$0.00 |
| 90651 |
|
747 |
740 |
$0.00 |
| 90680 |
|
249 |
247 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,821 |
3,295 |
$0.00 |
| 96127 |
|
1,159 |
949 |
$0.00 |
| 90716 |
|
41 |
36 |
$0.00 |
| 90619 |
|
26 |
25 |
$0.00 |
| 90696 |
|
54 |
53 |
$0.00 |
| 90633 |
|
412 |
403 |
$0.00 |
| 90734 |
|
508 |
499 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90670 |
|
578 |
575 |
$0.00 |
| 90715 |
|
147 |
147 |
$0.00 |
| 90710 |
|
41 |
40 |
$0.00 |
| 90700 |
|
18 |
18 |
$0.00 |