| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,490 |
14,763 |
$916K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,113 |
3,979 |
$439K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,097 |
3,949 |
$384K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,518 |
2,431 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,039 |
2,833 |
$262K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
842 |
801 |
$99K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,618 |
7,278 |
$92K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
431 |
379 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
451 |
419 |
$16K |
| 99383 |
|
111 |
108 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,679 |
3,540 |
$7K |
| H0049 |
Alcohol and/or drug screening |
960 |
904 |
$7K |
| 99384 |
|
68 |
67 |
$7K |
| 90651 |
|
1,505 |
1,440 |
$5K |
| 90716 |
|
592 |
573 |
$4K |
| 90670 |
|
731 |
706 |
$4K |
| 99382 |
|
27 |
26 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
71 |
$3K |
| 90619 |
|
197 |
188 |
$2K |
| 90620 |
|
949 |
911 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
688 |
647 |
$902.92 |
| 90734 |
|
939 |
909 |
$695.15 |
| 90686 |
|
1,325 |
1,289 |
$277.72 |
| 90707 |
|
551 |
534 |
$204.34 |
| 90700 |
|
1,643 |
1,560 |
$191.26 |
| 90633 |
|
813 |
787 |
$140.40 |
| 90715 |
|
407 |
388 |
$124.17 |
| 90713 |
|
1,149 |
1,101 |
$47.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
323 |
168 |
$43.68 |
| 94010 |
|
248 |
236 |
$23.81 |
| 90648 |
|
794 |
755 |
$20.00 |
| 94664 |
|
83 |
78 |
$11.43 |
| 81002 |
|
996 |
943 |
$9.20 |
| 90744 |
|
179 |
165 |
$0.00 |
| 90680 |
|
226 |
214 |
$0.00 |
| 2015F |
|
25 |
25 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 96160 |
|
96 |
89 |
$0.00 |