| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,952 |
4,322 |
$306K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,011 |
2,629 |
$264K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,491 |
2,307 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
937 |
786 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
495 |
450 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
249 |
219 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
755 |
712 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
562 |
265 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
50 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
89 |
$3K |
| 97802 |
|
628 |
562 |
$2K |
| 99429 |
|
340 |
271 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 99173 |
|
627 |
561 |
$1K |
| 99051 |
|
51 |
48 |
$785.00 |
| 99188 |
|
43 |
41 |
$704.49 |
| 96127 |
|
138 |
124 |
$652.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
52 |
$650.33 |
| 83655 |
|
57 |
52 |
$504.00 |
| 96161 |
|
89 |
88 |
$287.57 |
| 85018 |
|
80 |
75 |
$209.71 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$189.34 |
| 81025 |
|
15 |
13 |
$74.04 |
| 81002 |
|
17 |
15 |
$46.86 |
| 90688 |
|
435 |
394 |
$35.68 |
| 90686 |
|
235 |
222 |
$19.41 |
| 90687 |
|
131 |
127 |
$0.39 |
| 90723 |
|
385 |
336 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
148 |
138 |
$0.00 |
| 90651 |
|
116 |
113 |
$0.00 |
| 36416 |
|
58 |
53 |
$0.00 |
| 90680 |
|
221 |
184 |
$0.00 |
| 90647 |
|
38 |
38 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 90670 |
|
558 |
495 |
$0.00 |
| 90672 |
|
102 |
89 |
$0.00 |
| 90734 |
|
62 |
61 |
$0.00 |
| 90648 |
|
403 |
343 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 90633 |
|
64 |
61 |
$0.00 |
| 90700 |
|
43 |
38 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |