| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,101 |
1,819 |
$93K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,041 |
1,588 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
544 |
484 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
576 |
460 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
317 |
273 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
278 |
248 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
788 |
626 |
$9K |
| 92551 |
|
941 |
810 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
75 |
$6K |
| 3008F |
|
1,126 |
987 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
410 |
194 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
330 |
314 |
$3K |
| 96127 |
|
743 |
628 |
$3K |
| 96161 |
|
311 |
253 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
112 |
109 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
47 |
$1K |
| 90670 |
|
384 |
315 |
$1K |
| 99173 |
|
294 |
257 |
$1K |
| 87070 |
|
258 |
247 |
$847.86 |
| 90686 |
|
925 |
820 |
$832.92 |
| 90698 |
|
385 |
316 |
$508.00 |
| 96160 |
|
130 |
122 |
$445.28 |
| 99177 |
|
84 |
80 |
$374.01 |
| 36416 |
|
315 |
261 |
$312.12 |
| 90680 |
|
118 |
92 |
$225.00 |
| 80061 |
Lipid panel |
14 |
13 |
$127.50 |
| 83655 |
|
12 |
12 |
$96.94 |
| 90744 |
|
32 |
24 |
$63.50 |
| 94760 |
|
29 |
27 |
$8.16 |
| 99000 |
|
162 |
144 |
$0.08 |
| 90633 |
|
36 |
28 |
$0.00 |
| 90685 |
|
45 |
44 |
$0.00 |
| 3210F |
|
330 |
314 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 99072 |
|
214 |
197 |
$0.00 |
| 90707 |
|
18 |
13 |
$0.00 |
| 90716 |
|
18 |
13 |
$0.00 |