| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,478 |
11,730 |
$690K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,324 |
2,717 |
$221K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,609 |
2,224 |
$195K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,210 |
1,101 |
$88K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,505 |
3,935 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
743 |
712 |
$59K |
| 96127 |
|
1,885 |
1,584 |
$27K |
| 90677 |
|
364 |
308 |
$23K |
| 90670 |
|
1,990 |
1,678 |
$18K |
| 90698 |
|
1,837 |
1,494 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
126 |
$12K |
| 90633 |
|
820 |
684 |
$9K |
| 90744 |
|
901 |
779 |
$9K |
| 83655 |
|
701 |
612 |
$8K |
| 90681 |
|
828 |
692 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
292 |
266 |
$7K |
| 90651 |
|
90 |
83 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
391 |
356 |
$6K |
| 36416 |
|
996 |
877 |
$4K |
| 90734 |
|
381 |
324 |
$4K |
| 90710 |
|
318 |
273 |
$3K |
| 99381 |
|
36 |
36 |
$3K |
| 90696 |
|
270 |
236 |
$3K |
| 90715 |
|
267 |
234 |
$3K |
| 85018 |
|
1,032 |
875 |
$2K |
| 54150 |
|
13 |
13 |
$964.95 |
| 90648 |
|
86 |
76 |
$956.40 |
| 90716 |
|
92 |
67 |
$890.99 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
34 |
32 |
$889.50 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$862.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
52 |
$813.80 |
| 90700 |
|
68 |
65 |
$703.20 |
| 99460 |
|
17 |
15 |
$581.25 |
| 90707 |
|
63 |
43 |
$540.43 |
| 99000 |
|
19 |
16 |
$539.58 |
| 90686 |
|
67 |
59 |
$466.86 |
| 90656 |
|
26 |
24 |
$438.39 |
| 90723 |
|
30 |
25 |
$377.58 |
| 90697 |
|
18 |
16 |
$300.78 |
| 90685 |
|
19 |
18 |
$121.60 |
| 81002 |
|
14 |
12 |
$36.40 |
| 3078F |
|
44 |
42 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
12 |
$0.00 |
| 3074F |
|
49 |
46 |
$0.00 |
| 3008F |
|
16 |
16 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |