| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,662 |
21,438 |
$1.71M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,237 |
2,233 |
$211K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,125 |
2,117 |
$172K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,463 |
1,457 |
$149K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,466 |
6,326 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,481 |
1,430 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,438 |
1,371 |
$105K |
| 92587 |
|
4,964 |
4,847 |
$103K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,678 |
2,622 |
$102K |
| 99442 |
|
570 |
562 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,350 |
3,251 |
$41K |
| 99401 |
|
1,044 |
930 |
$30K |
| 90461 |
|
1,647 |
1,632 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,206 |
3,140 |
$27K |
| 87070 |
|
2,599 |
2,540 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
156 |
$13K |
| 99173 |
|
3,240 |
3,189 |
$8K |
| 99402 |
|
143 |
138 |
$6K |
| 90671 |
|
152 |
147 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
858 |
838 |
$5K |
| 90656 |
|
948 |
936 |
$4K |
| 90686 |
|
498 |
497 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
107 |
$2K |
| 90697 |
|
16 |
16 |
$2K |
| 36410 |
|
108 |
107 |
$2K |
| 90670 |
|
295 |
289 |
$947.45 |
| 90651 |
|
70 |
70 |
$842.00 |
| 90734 |
|
88 |
87 |
$418.13 |
| 90715 |
|
71 |
71 |
$242.54 |
| 92552 |
|
26 |
26 |
$239.07 |
| 90655 |
|
123 |
122 |
$206.65 |
| 90620 |
|
13 |
13 |
$200.00 |
| 90688 |
|
18 |
18 |
$158.72 |
| 83655 |
|
484 |
479 |
$117.49 |
| 97802 |
|
3,502 |
3,474 |
$98.89 |
| 90685 |
|
15 |
15 |
$72.15 |
| 90633 |
|
168 |
165 |
$36.92 |
| 96160 |
|
189 |
189 |
$28.22 |
| 81002 |
|
24 |
24 |
$13.61 |
| 90648 |
|
26 |
26 |
$0.00 |
| 90672 |
|
19 |
19 |
$0.00 |
| 90680 |
|
153 |
151 |
$0.00 |
| 99000 |
|
87 |
84 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |