| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,719 |
14,617 |
$827K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,232 |
2,140 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,465 |
1,445 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,327 |
1,315 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,836 |
3,722 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
991 |
976 |
$55K |
| 92587 |
|
2,798 |
2,716 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,031 |
3,933 |
$51K |
| 99188 |
|
2,350 |
2,323 |
$44K |
| 92567 |
|
4,051 |
3,953 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,019 |
982 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
490 |
466 |
$26K |
| 3008F |
|
3,069 |
3,002 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,133 |
1,100 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,183 |
1,135 |
$12K |
| 90677 |
|
39 |
39 |
$7K |
| 90656 |
|
353 |
349 |
$4K |
| 90473 |
|
167 |
167 |
$2K |
| 96127 |
|
1,037 |
1,031 |
$2K |
| 90461 |
|
93 |
93 |
$2K |
| 0001A |
|
49 |
47 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$1K |
| 90651 |
|
45 |
42 |
$1K |
| 90688 |
|
111 |
111 |
$1K |
| 90686 |
|
542 |
487 |
$1K |
| 90670 |
|
129 |
124 |
$1K |
| 0003A |
|
27 |
27 |
$1K |
| 90734 |
|
26 |
26 |
$688.82 |
| 0071A |
|
19 |
18 |
$680.00 |
| 90674 |
|
186 |
179 |
$603.50 |
| 0072A |
|
13 |
12 |
$480.00 |
| 0002A |
|
15 |
15 |
$434.40 |
| 90620 |
|
14 |
14 |
$377.08 |
| 92558 |
|
28 |
28 |
$226.19 |
| 99177 |
|
102 |
102 |
$222.91 |
| 90672 |
|
71 |
70 |
$185.32 |
| 90716 |
|
14 |
13 |
$144.82 |
| 90715 |
|
24 |
24 |
$89.19 |
| 90700 |
|
42 |
33 |
$61.60 |
| 90660 |
|
23 |
23 |
$47.69 |
| 90633 |
|
61 |
57 |
$32.55 |
| 96161 |
|
210 |
196 |
$29.75 |
| 90671 |
|
25 |
24 |
$14.00 |
| 91300 |
|
141 |
133 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 99000 |
|
33 |
32 |
$0.00 |
| 91307 |
|
41 |
33 |
$0.00 |