| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,948 |
8,004 |
$562K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,619 |
4,241 |
$381K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,019 |
2,844 |
$293K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,227 |
2,096 |
$223K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,637 |
1,555 |
$145K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
745 |
705 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
414 |
394 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,992 |
4,645 |
$24K |
| 90461 |
|
2,349 |
2,211 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,468 |
2,268 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,658 |
799 |
$2K |
| 3008F |
|
3,288 |
3,038 |
$1K |
| 90670 |
|
1,043 |
980 |
$1K |
| 0071A |
|
35 |
26 |
$929.79 |
| 90633 |
|
331 |
324 |
$867.16 |
| 99051 |
|
95 |
87 |
$831.77 |
| 90686 |
|
414 |
396 |
$788.15 |
| 83655 |
|
371 |
338 |
$709.28 |
| 85018 |
|
2,229 |
2,094 |
$638.34 |
| 0072A |
|
15 |
13 |
$479.85 |
| 36416 |
|
1,987 |
1,808 |
$329.79 |
| 97802 |
|
288 |
244 |
$275.62 |
| 96127 |
|
1,098 |
972 |
$226.97 |
| 90648 |
|
136 |
134 |
$210.28 |
| 90698 |
|
592 |
578 |
$208.02 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
48 |
41 |
$188.59 |
| 87070 |
|
171 |
158 |
$116.48 |
| 99173 |
|
2,254 |
2,082 |
$102.88 |
| 90707 |
|
27 |
27 |
$96.02 |
| 87081 |
|
90 |
56 |
$86.18 |
| 81002 |
|
324 |
301 |
$86.15 |
| 90651 |
|
194 |
182 |
$74.01 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
64 |
59 |
$65.54 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
228 |
179 |
$58.51 |
| 92551 |
|
2,058 |
1,891 |
$50.11 |
| 90715 |
|
20 |
19 |
$48.01 |
| 90700 |
|
54 |
54 |
$40.00 |
| 87807 |
|
54 |
53 |
$36.48 |
| 90680 |
|
505 |
494 |
$24.01 |
| 90744 |
|
236 |
232 |
$20.00 |
| 90734 |
|
76 |
71 |
$10.00 |
| 90685 |
|
13 |
12 |
$10.00 |
| 91307 |
|
43 |
33 |
$0.04 |
| 96161 |
|
82 |
66 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 99188 |
|
13 |
13 |
$0.00 |
| 99177 |
|
223 |
195 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |