| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,345 |
8,667 |
$402K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,450 |
2,134 |
$140K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,736 |
2,396 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,525 |
1,415 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,425 |
1,289 |
$85K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,342 |
2,154 |
$82K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
43 |
28 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,716 |
1,441 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,869 |
1,754 |
$19K |
| 59025 |
Fetal non-stress test |
481 |
226 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
113 |
$8K |
| 99460 |
|
158 |
145 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
82 |
$6K |
| 99462 |
|
180 |
161 |
$6K |
| 0503F |
|
1,694 |
1,087 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
368 |
338 |
$4K |
| 81002 |
|
1,707 |
1,531 |
$4K |
| 87807 |
|
234 |
222 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
24 |
$2K |
| 54150 |
|
14 |
13 |
$2K |
| 90670 |
|
1,091 |
984 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
74 |
$1K |
| 59430 |
|
153 |
117 |
$1K |
| 90716 |
|
245 |
227 |
$900.00 |
| 0500F |
|
301 |
275 |
$713.25 |
| 81025 |
|
141 |
116 |
$707.92 |
| 90707 |
|
235 |
216 |
$665.00 |
| 99217 |
|
14 |
12 |
$634.32 |
| 99173 |
|
137 |
121 |
$604.53 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$547.38 |
| 90723 |
|
1,211 |
1,074 |
$541.40 |
| 90677 |
|
378 |
331 |
$505.35 |
| 90633 |
|
337 |
312 |
$217.34 |
| 90647 |
|
1,200 |
1,068 |
$134.20 |
| 90680 |
|
973 |
854 |
$88.98 |
| 96127 |
|
19 |
17 |
$46.35 |
| 90656 |
|
59 |
45 |
$25.00 |
| 90686 |
|
173 |
156 |
$0.00 |
| 90696 |
|
16 |
12 |
$0.00 |
| 0502F |
|
7,265 |
3,765 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |