| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,500 |
2,258 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,503 |
1,381 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,647 |
1,457 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,948 |
1,634 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
380 |
360 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
410 |
370 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
183 |
166 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
178 |
164 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
487 |
453 |
$6K |
| 94761 |
|
742 |
666 |
$4K |
| 92551 |
|
517 |
462 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
108 |
$3K |
| 81000 |
|
788 |
703 |
$3K |
| 99173 |
|
264 |
230 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
681 |
611 |
$2K |
| 96127 |
|
449 |
303 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
62 |
$1K |
| 90620 |
|
18 |
16 |
$716.22 |
| 99381 |
|
15 |
12 |
$586.89 |
| 94664 |
|
41 |
38 |
$570.39 |
| 90670 |
|
518 |
458 |
$538.14 |
| 84703 |
|
54 |
50 |
$501.42 |
| 36416 |
|
143 |
126 |
$304.61 |
| 90651 |
|
12 |
12 |
$303.62 |
| 90680 |
|
227 |
206 |
$225.00 |
| 90734 |
|
25 |
21 |
$142.90 |
| 90686 |
|
518 |
465 |
$131.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
17 |
$20.39 |
| 90648 |
|
256 |
226 |
$14.70 |
| 90723 |
|
88 |
84 |
$0.00 |
| 90633 |
|
55 |
50 |
$0.00 |
| 90461 |
|
375 |
340 |
$0.00 |
| 90649 |
|
17 |
14 |
$0.00 |
| 90715 |
|
18 |
14 |
$0.00 |