| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,371 |
16,175 |
$1.32M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,114 |
2,107 |
$169K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,143 |
2,133 |
$169K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,635 |
6,518 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,308 |
1,304 |
$112K |
| 99401 |
|
5,447 |
5,436 |
$90K |
| 92552 |
|
3,197 |
3,188 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
791 |
781 |
$58K |
| 90461 |
|
3,377 |
3,335 |
$41K |
| 97802 |
|
4,473 |
4,440 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
236 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
430 |
424 |
$16K |
| 99383 |
|
163 |
163 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,444 |
3,411 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,571 |
1,570 |
$10K |
| 99441 |
|
288 |
282 |
$10K |
| 99177 |
|
2,403 |
2,398 |
$9K |
| 92551 |
|
933 |
932 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
892 |
877 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
4,403 |
4,281 |
$7K |
| 90662 |
|
159 |
157 |
$6K |
| 90620 |
|
157 |
155 |
$4K |
| 36400 |
|
390 |
376 |
$4K |
| 90686 |
|
3,092 |
3,040 |
$3K |
| 90651 |
|
383 |
376 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 99382 |
|
24 |
24 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
179 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 90671 |
|
28 |
28 |
$2K |
| 90473 |
|
197 |
197 |
$1K |
| 90734 |
|
308 |
300 |
$1K |
| 99381 |
|
22 |
22 |
$704.88 |
| 96127 |
|
245 |
245 |
$618.28 |
| 90716 |
|
565 |
559 |
$608.48 |
| 99188 |
|
52 |
52 |
$498.20 |
| 90670 |
|
651 |
648 |
$429.24 |
| 90677 |
|
14 |
14 |
$375.00 |
| 99173 |
|
902 |
899 |
$300.22 |
| 90707 |
|
522 |
516 |
$270.39 |
| 90633 |
|
548 |
543 |
$264.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$244.72 |
| 90715 |
|
72 |
69 |
$235.92 |
| 91300 |
|
14 |
13 |
$105.00 |
| 90685 |
|
55 |
55 |
$63.96 |
| 85018 |
|
13 |
13 |
$19.54 |
| 90672 |
|
14 |
14 |
$18.82 |
| 94760 |
|
15 |
14 |
$2.24 |
| 90680 |
|
154 |
152 |
$0.00 |
| 90698 |
|
320 |
317 |
$0.00 |
| 90744 |
|
176 |
167 |
$0.00 |
| 90696 |
|
115 |
113 |
$0.00 |
| 83655 |
|
15 |
15 |
$0.00 |