| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,989 |
7,292 |
$679K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,008 |
2,701 |
$359K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,892 |
1,842 |
$201K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,752 |
1,698 |
$184K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,304 |
1,285 |
$151K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,422 |
1,305 |
$135K |
| 90686 |
|
1,238 |
1,212 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
425 |
402 |
$21K |
| 90670 |
|
903 |
868 |
$20K |
| 90723 |
|
826 |
802 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
121 |
$15K |
| 90688 |
|
586 |
575 |
$12K |
| 90633 |
|
520 |
505 |
$12K |
| 90648 |
|
487 |
465 |
$11K |
| 90651 |
|
452 |
444 |
$10K |
| 90647 |
|
449 |
433 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,036 |
681 |
$9K |
| 90710 |
|
382 |
368 |
$8K |
| 90680 |
|
370 |
357 |
$8K |
| 90734 |
|
371 |
366 |
$8K |
| D1206 |
Topical application of fluoride varnish |
302 |
301 |
$8K |
| 96127 |
|
1,234 |
1,211 |
$6K |
| 90715 |
|
156 |
154 |
$4K |
| W7000 |
|
640 |
630 |
$3K |
| 90677 |
|
124 |
123 |
$3K |
| 90656 |
|
112 |
112 |
$3K |
| 90707 |
|
108 |
94 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
219 |
125 |
$2K |
| 99383 |
|
14 |
14 |
$2K |
| 90696 |
|
69 |
66 |
$1K |
| 90700 |
|
40 |
38 |
$884.64 |
| 36415 |
Collection of venous blood by venipuncture |
289 |
245 |
$700.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
41 |
$408.22 |
| 90716 |
|
17 |
13 |
$395.76 |
| 90620 |
|
18 |
17 |
$302.64 |
| 2015F |
|
14 |
14 |
$280.00 |
| 96161 |
|
114 |
108 |
$253.41 |
| 87807 |
|
19 |
18 |
$200.25 |
| 96160 |
|
45 |
44 |
$55.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,344 |
1,319 |
$0.00 |
| 90461 |
|
545 |
532 |
$0.00 |