| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,007 |
15,898 |
$1.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,801 |
7,058 |
$662K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,522 |
3,380 |
$268K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,235 |
2,994 |
$227K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,307 |
1,266 |
$99K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
514 |
509 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,588 |
4,364 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,189 |
3,913 |
$30K |
| 90461 |
|
2,643 |
2,457 |
$10K |
| 87428 |
|
300 |
280 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
582 |
517 |
$6K |
| 99173 |
|
1,801 |
1,685 |
$4K |
| 90670 |
|
1,927 |
1,842 |
$3K |
| 92552 |
|
102 |
91 |
$2K |
| 99381 |
|
28 |
26 |
$2K |
| 92551 |
|
201 |
195 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 90723 |
|
1,520 |
1,452 |
$2K |
| 90677 |
|
276 |
253 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
527 |
523 |
$1K |
| 90686 |
|
2,009 |
1,931 |
$1K |
| 90651 |
|
244 |
238 |
$1K |
| 90716 |
|
810 |
769 |
$1K |
| 90647 |
|
651 |
603 |
$1K |
| 90633 |
|
1,144 |
1,094 |
$894.46 |
| 90734 |
|
288 |
283 |
$722.01 |
| 90707 |
|
810 |
772 |
$695.40 |
| 90681 |
|
512 |
483 |
$555.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
154 |
150 |
$437.79 |
| 90715 |
|
170 |
166 |
$378.88 |
| 90696 |
|
234 |
219 |
$306.20 |
| 90648 |
|
1,277 |
1,227 |
$253.06 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
13 |
$224.94 |
| 96127 |
|
18 |
17 |
$112.07 |
| 81003 |
|
18 |
15 |
$37.58 |
| 90620 |
|
20 |
19 |
$22.16 |
| 90700 |
|
132 |
123 |
$12.21 |
| 90656 |
|
95 |
95 |
$11.94 |