| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,791 |
5,147 |
$500K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,151 |
877 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,144 |
919 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
976 |
773 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
958 |
729 |
$94K |
| 92587 |
|
2,829 |
2,207 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
613 |
503 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,076 |
2,492 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,126 |
2,720 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
957 |
844 |
$45K |
| 99442 |
|
808 |
684 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,402 |
1,136 |
$15K |
| 99174 |
|
1,028 |
636 |
$11K |
| 96127 |
|
939 |
516 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
464 |
301 |
$6K |
| 99173 |
|
819 |
759 |
$5K |
| 96160 |
|
738 |
469 |
$5K |
| 36416 |
|
375 |
363 |
$1K |
| 99188 |
|
132 |
40 |
$942.40 |
| 99443 |
|
14 |
14 |
$899.86 |
| 99050 |
|
52 |
50 |
$738.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
53 |
$606.85 |
| 83655 |
|
62 |
38 |
$300.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$80.15 |
| 85018 |
|
528 |
420 |
$27.12 |
| 90685 |
|
183 |
177 |
$0.28 |
| 90688 |
|
118 |
71 |
$0.21 |
| 90686 |
|
547 |
518 |
$0.01 |
| 90670 |
|
305 |
273 |
$0.00 |
| 90734 |
|
116 |
79 |
$0.00 |
| 90715 |
|
70 |
48 |
$0.00 |
| 90461 |
|
76 |
69 |
$0.00 |
| 90707 |
|
89 |
68 |
$0.00 |
| 90672 |
|
343 |
335 |
$0.00 |
| 90633 |
|
171 |
130 |
$0.00 |
| 90648 |
|
56 |
25 |
$0.00 |
| 90649 |
|
21 |
21 |
$0.00 |
| 90716 |
|
56 |
39 |
$0.00 |
| 90651 |
|
30 |
27 |
$0.00 |
| 90647 |
|
147 |
136 |
$0.00 |
| 99441 |
|
117 |
40 |
$0.00 |
| 90723 |
|
44 |
42 |
$0.00 |
| 90696 |
|
15 |
13 |
$0.00 |