| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,399 |
12,365 |
$822K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,564 |
15,385 |
$264K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,425 |
2,423 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,999 |
1,997 |
$151K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,003 |
2,002 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,041 |
2,027 |
$145K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,007 |
3,482 |
$54K |
| 99441 |
|
825 |
794 |
$38K |
| 96127 |
|
5,642 |
2,940 |
$30K |
| 94762 |
|
2,981 |
2,789 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
387 |
373 |
$17K |
| 87077 |
|
1,691 |
1,664 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,165 |
2,116 |
$8K |
| 4124F |
|
770 |
756 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,280 |
1,256 |
$6K |
| 90620 |
|
535 |
532 |
$6K |
| 69210 |
|
123 |
121 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
102 |
102 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
68 |
68 |
$4K |
| 0124A |
|
111 |
111 |
$4K |
| 99460 |
|
55 |
55 |
$4K |
| 0071A |
|
88 |
88 |
$3K |
| 90461 |
|
262 |
256 |
$3K |
| 90686 |
|
2,465 |
2,454 |
$3K |
| 0072A |
|
73 |
73 |
$3K |
| 96161 |
|
1,347 |
1,340 |
$3K |
| 90651 |
|
383 |
379 |
$2K |
| 90480 |
|
91 |
91 |
$2K |
| 0003A |
|
61 |
61 |
$2K |
| 90649 |
|
361 |
360 |
$2K |
| 0154A |
|
28 |
28 |
$972.25 |
| 90715 |
|
216 |
216 |
$881.58 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
63 |
63 |
$511.54 |
| 90716 |
|
188 |
187 |
$462.68 |
| 0111A |
|
14 |
14 |
$417.72 |
| 0112A |
|
12 |
12 |
$384.64 |
| 96380 |
|
16 |
16 |
$369.32 |
| 90658 |
|
610 |
606 |
$330.71 |
| 90734 |
|
199 |
199 |
$274.68 |
| 86580 |
|
30 |
30 |
$255.72 |
| 90707 |
|
168 |
165 |
$187.92 |
| 90619 |
|
428 |
425 |
$187.19 |
| 90670 |
|
1,200 |
1,194 |
$183.52 |
| 90672 |
|
73 |
73 |
$108.92 |
| 90660 |
|
148 |
148 |
$107.42 |
| 90713 |
|
566 |
564 |
$105.05 |
| 90744 |
|
182 |
182 |
$48.38 |
| 90697 |
|
712 |
710 |
$0.83 |
| 90671 |
|
559 |
559 |
$0.61 |
| 90655 |
|
122 |
122 |
$0.28 |
| 90680 |
|
1,081 |
1,079 |
$0.01 |
| 90633 |
|
771 |
761 |
$0.00 |
| 90648 |
|
782 |
780 |
$0.00 |
| 90700 |
|
763 |
761 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 90723 |
|
113 |
113 |
$0.00 |
| 90674 |
|
119 |
119 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |