| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,535 |
5,858 |
$379K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,822 |
3,476 |
$328K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,484 |
2,399 |
$201K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,859 |
1,778 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,046 |
1,735 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,046 |
992 |
$88K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,755 |
2,330 |
$24K |
| 90670 |
|
1,191 |
1,125 |
$16K |
| 90619 |
|
163 |
143 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
791 |
739 |
$10K |
| 90698 |
|
693 |
646 |
$9K |
| 90688 |
|
733 |
695 |
$8K |
| 81002 |
|
2,816 |
2,653 |
$8K |
| 92587 |
|
506 |
485 |
$7K |
| 90716 |
|
395 |
381 |
$7K |
| 85018 |
|
2,848 |
2,724 |
$7K |
| 99174 |
|
1,258 |
1,194 |
$6K |
| 96127 |
|
1,296 |
1,203 |
$6K |
| 90680 |
|
521 |
489 |
$6K |
| 99188 |
|
297 |
288 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
379 |
269 |
$5K |
| 90707 |
|
334 |
326 |
$5K |
| 99199 |
Unlisted special service, procedure or report |
1,792 |
1,697 |
$5K |
| 90700 |
|
340 |
334 |
$4K |
| 90633 |
|
312 |
304 |
$4K |
| 90677 |
|
25 |
25 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
14 |
$2K |
| 90686 |
|
250 |
231 |
$2K |
| 90744 |
|
152 |
141 |
$2K |
| 90651 |
|
26 |
26 |
$1K |
| 99173 |
|
566 |
538 |
$1K |
| 90656 |
|
64 |
64 |
$840.81 |
| 90685 |
|
53 |
53 |
$589.03 |
| 87807 |
|
48 |
45 |
$583.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
35 |
$575.18 |
| 90713 |
|
37 |
37 |
$458.74 |
| 90697 |
|
14 |
12 |
$406.62 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
24 |
$276.84 |
| 92558 |
|
13 |
13 |
$181.17 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$52.79 |
| 94760 |
|
39 |
38 |
$21.53 |