| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,950 |
5,310 |
$362K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,627 |
3,261 |
$322K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,620 |
2,998 |
$309K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,865 |
1,764 |
$178K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
517 |
499 |
$42K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
681 |
616 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,466 |
4,203 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,393 |
3,180 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
92 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
904 |
817 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
67 |
$3K |
| 36416 |
|
1,547 |
1,152 |
$2K |
| 99462 |
|
40 |
25 |
$969.37 |
| 90474 |
|
279 |
262 |
$966.46 |
| 90670 |
|
1,503 |
1,400 |
$921.79 |
| 99460 |
|
14 |
12 |
$886.20 |
| 90671 |
|
174 |
168 |
$722.67 |
| 96127 |
|
297 |
220 |
$436.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
26 |
$432.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
62 |
$325.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
329 |
308 |
$281.33 |
| 90710 |
|
14 |
14 |
$270.15 |
| 90686 |
|
682 |
646 |
$249.99 |
| 90723 |
|
1,225 |
1,140 |
$201.69 |
| 90648 |
|
544 |
511 |
$198.65 |
| 90647 |
|
385 |
350 |
$184.91 |
| 90680 |
|
191 |
186 |
$100.00 |
| 90633 |
|
434 |
410 |
$83.84 |
| 90696 |
|
14 |
14 |
$78.75 |
| 90473 |
|
100 |
96 |
$43.94 |
| 90672 |
|
65 |
61 |
$0.02 |
| 90681 |
|
250 |
224 |
$0.00 |
| 87400 |
|
156 |
140 |
$0.00 |
| 90700 |
|
28 |
25 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |
| 90734 |
|
28 |
26 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
47 |
46 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |
| 90651 |
|
27 |
26 |
$0.00 |
| 87428 |
|
12 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
29 |
29 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$0.00 |