| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,338 |
37,033 |
$2.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,160 |
19,079 |
$1.52M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,719 |
10,795 |
$889K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,043 |
21,695 |
$884K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,403 |
9,322 |
$758K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,877 |
6,833 |
$553K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,884 |
2,858 |
$252K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,299 |
10,604 |
$110K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,673 |
6,391 |
$88K |
| 99381 |
|
500 |
498 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,159 |
2,136 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,028 |
1,992 |
$31K |
| 81002 |
|
9,799 |
9,424 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,516 |
1,449 |
$21K |
| 99460 |
|
286 |
280 |
$19K |
| 86580 |
|
2,342 |
2,299 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
277 |
274 |
$15K |
| 99354 |
|
176 |
158 |
$10K |
| 0071A |
|
94 |
89 |
$8K |
| 0072A |
|
89 |
89 |
$7K |
| 96127 |
|
535 |
535 |
$2K |
| 92567 |
|
163 |
143 |
$2K |
| 99383 |
|
16 |
15 |
$1K |
| 99462 |
|
37 |
28 |
$1K |
| 69210 |
|
27 |
27 |
$1K |
| 90473 |
|
42 |
41 |
$723.67 |
| 90671 |
|
853 |
751 |
$463.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$424.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
26 |
$403.29 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$227.76 |
| 92551 |
|
16 |
16 |
$153.39 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
25 |
$34.90 |
| 90672 |
|
147 |
133 |
$0.00 |
| 90685 |
|
465 |
451 |
$0.00 |
| 90670 |
|
6,991 |
6,582 |
$0.00 |
| 90633 |
|
2,903 |
2,725 |
$0.00 |
| 90715 |
|
154 |
149 |
$0.00 |
| 90734 |
|
384 |
362 |
$0.00 |
| 90707 |
|
379 |
353 |
$0.00 |
| 90710 |
|
207 |
205 |
$0.00 |
| 90687 |
|
13 |
13 |
$0.00 |
| 90680 |
|
5,232 |
4,907 |
$0.00 |
| 90686 |
|
5,525 |
4,848 |
$0.00 |
| 90698 |
|
5,466 |
5,123 |
$0.00 |
| 90651 |
|
737 |
693 |
$0.00 |
| 90744 |
|
2,323 |
2,175 |
$0.00 |
| 90697 |
|
790 |
697 |
$0.00 |
| 90688 |
|
124 |
122 |
$0.00 |
| 90716 |
|
406 |
374 |
$0.00 |
| 90677 |
|
15 |
14 |
$0.00 |
| 90620 |
|
137 |
131 |
$0.00 |
| 90696 |
|
174 |
173 |
$0.00 |
| 91307 |
|
44 |
40 |
$0.00 |