| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,678 |
4,908 |
$261K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,187 |
1,905 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,032 |
3,803 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
740 |
668 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
414 |
404 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,880 |
1,688 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
215 |
208 |
$16K |
| 92552 |
|
790 |
703 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
63 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
113 |
104 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
47 |
$1K |
| 99173 |
|
806 |
710 |
$835.35 |
| 81002 |
|
144 |
128 |
$342.04 |
| 99000 |
|
258 |
186 |
$231.92 |
| 94760 |
|
412 |
341 |
$159.31 |
| 90688 |
|
767 |
607 |
$143.78 |
| 92567 |
|
13 |
12 |
$136.12 |
| 87081 |
|
132 |
109 |
$7.53 |
| 90670 |
|
391 |
350 |
$0.00 |
| 90685 |
|
147 |
131 |
$0.00 |
| 90633 |
|
19 |
13 |
$0.00 |
| 90680 |
|
105 |
89 |
$0.00 |
| 90698 |
|
220 |
202 |
$0.00 |
| 90686 |
|
224 |
209 |
$0.00 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
27 |
15 |
$0.00 |
| 90744 |
|
47 |
38 |
$0.00 |
| 36416 |
|
22 |
19 |
$0.00 |