| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,873 |
6,855 |
$323K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,008 |
3,595 |
$113K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,621 |
1,562 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,319 |
1,298 |
$101K |
| 99173 |
|
1,795 |
1,754 |
$86K |
| 92587 |
|
2,088 |
2,046 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,082 |
1,066 |
$82K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,198 |
2,146 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,176 |
3,751 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
402 |
400 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,086 |
1,053 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,283 |
613 |
$19K |
| 99460 |
|
433 |
421 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
393 |
383 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
960 |
906 |
$9K |
| 99462 |
|
313 |
252 |
$7K |
| 83655 |
|
337 |
330 |
$5K |
| 97802 |
|
374 |
368 |
$4K |
| 92551 |
|
297 |
284 |
$3K |
| 54160 |
|
25 |
25 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
41 |
$3K |
| 99383 |
|
28 |
28 |
$2K |
| 99384 |
|
21 |
21 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90633 |
|
1,949 |
1,908 |
$774.62 |
| 90670 |
|
1,155 |
1,127 |
$545.70 |
| 90698 |
|
1,118 |
1,093 |
$524.88 |
| 90680 |
|
687 |
667 |
$415.53 |
| 90716 |
|
645 |
629 |
$407.45 |
| 90707 |
|
628 |
613 |
$367.55 |
| 90744 |
|
645 |
624 |
$321.11 |
| 92567 |
|
17 |
16 |
$260.93 |
| 90685 |
|
197 |
194 |
$222.17 |
| 81002 |
|
273 |
265 |
$169.36 |
| 90651 |
|
277 |
270 |
$163.20 |
| 36416 |
|
984 |
931 |
$101.44 |
| 90696 |
|
292 |
283 |
$101.36 |
| 90686 |
|
170 |
167 |
$92.00 |
| 90715 |
|
113 |
110 |
$70.23 |
| 90734 |
|
240 |
229 |
$36.80 |
| 90688 |
|
180 |
179 |
$0.00 |