| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,663 |
10,707 |
$546K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,145 |
2,941 |
$183K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,281 |
4,115 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,452 |
1,423 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,425 |
1,403 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,296 |
1,219 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
942 |
922 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,095 |
2,980 |
$44K |
| 36410 |
|
1,354 |
1,280 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
712 |
697 |
$10K |
| 92583 |
|
506 |
490 |
$8K |
| 90686 |
|
1,018 |
969 |
$6K |
| 90461 |
|
431 |
425 |
$6K |
| 90670 |
|
153 |
144 |
$6K |
| 90651 |
|
40 |
39 |
$4K |
| 99173 |
|
2,248 |
2,210 |
$3K |
| 90677 |
|
16 |
15 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
106 |
106 |
$1K |
| 90734 |
|
28 |
28 |
$1K |
| 90620 |
|
12 |
12 |
$870.57 |
| 36415 |
Collection of venous blood by venipuncture |
284 |
277 |
$828.06 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$791.44 |
| 90700 |
|
61 |
55 |
$366.30 |
| 90648 |
|
151 |
147 |
$339.51 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$234.32 |
| 90715 |
|
12 |
12 |
$188.18 |
| 99000 |
|
2,245 |
2,141 |
$184.36 |
| 87081 |
|
110 |
109 |
$154.07 |
| 90685 |
|
17 |
17 |
$148.48 |
| 36406 |
|
14 |
14 |
$125.20 |
| 90713 |
|
29 |
25 |
$121.92 |