| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,637 |
15,657 |
$823K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,596 |
9,962 |
$742K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,550 |
7,128 |
$262K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,762 |
2,707 |
$198K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,529 |
2,444 |
$184K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,928 |
1,813 |
$131K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
965 |
940 |
$74K |
| 92552 |
|
3,137 |
2,867 |
$29K |
| 96127 |
|
5,836 |
4,723 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,269 |
1,243 |
$16K |
| 96160 |
|
5,936 |
5,661 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
787 |
771 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
552 |
529 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$4K |
| 94760 |
|
2,593 |
2,222 |
$3K |
| 99173 |
|
3,280 |
2,960 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
77 |
$2K |
| 90670 |
|
867 |
777 |
$1K |
| 90461 |
|
33 |
30 |
$589.66 |
| 90686 |
|
2,026 |
1,749 |
$257.34 |
| 90723 |
|
410 |
370 |
$204.59 |
| 90648 |
|
806 |
725 |
$135.92 |
| 90716 |
|
83 |
69 |
$86.56 |
| 90633 |
|
120 |
108 |
$55.16 |
| 90707 |
|
97 |
80 |
$51.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
42 |
$45.69 |
| 90651 |
|
217 |
179 |
$30.86 |
| 96161 |
|
16 |
13 |
$21.06 |
| 99000 |
|
43 |
42 |
$11.78 |
| 90680 |
|
232 |
218 |
$0.70 |
| 90656 |
|
54 |
33 |
$0.00 |
| 99072 |
|
295 |
214 |
$0.00 |
| 90734 |
|
46 |
38 |
$0.00 |
| G9920 |
Screening performed and negative |
14 |
14 |
$0.00 |