| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,318 |
3,192 |
$310K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,209 |
3,101 |
$277K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,213 |
2,159 |
$181K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,381 |
5,904 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,690 |
3,537 |
$146K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,849 |
5,534 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
754 |
738 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
484 |
469 |
$42K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,095 |
2,028 |
$33K |
| 86580 |
|
3,726 |
3,606 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,144 |
1,102 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,095 |
911 |
$10K |
| 90620 |
|
1,118 |
1,082 |
$7K |
| 90461 |
|
1,290 |
1,252 |
$6K |
| 99381 |
|
66 |
65 |
$6K |
| 99000 |
|
253 |
243 |
$3K |
| 99382 |
|
28 |
28 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
131 |
$2K |
| 90651 |
|
1,928 |
1,854 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$509.95 |
| 90658 |
|
986 |
977 |
$347.67 |
| 96161 |
|
17 |
17 |
$41.56 |
| 90734 |
|
1,015 |
974 |
$0.12 |
| 90715 |
|
327 |
313 |
$0.02 |
| 90716 |
|
505 |
492 |
$0.00 |
| 90723 |
|
195 |
193 |
$0.00 |
| 90680 |
|
446 |
435 |
$0.00 |
| 90633 |
|
495 |
467 |
$0.00 |
| 90670 |
|
1,004 |
978 |
$0.00 |
| 90700 |
|
671 |
658 |
$0.00 |
| 90707 |
|
467 |
454 |
$0.00 |
| 90648 |
|
808 |
789 |
$0.00 |
| 90713 |
|
161 |
153 |
$0.00 |