| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,642 |
19,122 |
$1.04M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,988 |
6,882 |
$273K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,961 |
2,789 |
$174K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,392 |
2,253 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,421 |
2,272 |
$139K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,598 |
6,030 |
$138K |
| 92552 |
|
6,831 |
6,450 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,483 |
1,346 |
$82K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,689 |
3,483 |
$57K |
| 90671 |
|
304 |
253 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,995 |
1,920 |
$27K |
| 97802 |
|
6,810 |
6,407 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
369 |
351 |
$23K |
| 90651 |
|
333 |
288 |
$19K |
| 90619 |
|
211 |
183 |
$18K |
| 90697 |
|
257 |
223 |
$16K |
| 90686 |
|
2,203 |
1,999 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
109 |
$8K |
| 99173 |
|
5,110 |
4,720 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
510 |
489 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
70 |
$5K |
| 0072A |
|
141 |
126 |
$5K |
| 0071A |
|
136 |
121 |
$5K |
| 0001A |
|
92 |
90 |
$4K |
| 90649 |
|
67 |
67 |
$3K |
| 90670 |
|
294 |
272 |
$3K |
| 0002A |
|
60 |
59 |
$2K |
| 90734 |
|
56 |
56 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
36 |
$1K |
| 90710 |
|
35 |
27 |
$1K |
| 90621 |
|
12 |
12 |
$1K |
| 90658 |
|
286 |
271 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
102 |
98 |
$926.13 |
| 90680 |
|
260 |
232 |
$540.55 |
| 83655 |
|
628 |
515 |
$457.33 |
| 90633 |
|
195 |
172 |
$400.62 |
| 90715 |
|
47 |
39 |
$353.13 |
| 90723 |
|
41 |
41 |
$259.25 |
| 90696 |
|
19 |
13 |
$242.33 |
| 90716 |
|
16 |
15 |
$107.62 |
| 91307 |
|
298 |
223 |
$90.00 |
| 90648 |
|
70 |
68 |
$76.67 |
| 90707 |
|
16 |
15 |
$60.45 |
| 91300 |
|
102 |
86 |
$26.00 |
| 90700 |
|
14 |
12 |
$21.45 |
| 96160 |
|
498 |
415 |
$9.41 |
| 3078F |
|
560 |
452 |
$1.00 |
| 3044F |
|
466 |
371 |
$0.00 |