| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,902 |
19,485 |
$922K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,049 |
5,552 |
$306K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,866 |
6,392 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,441 |
1,381 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,357 |
1,293 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,415 |
1,327 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,110 |
1,005 |
$53K |
| 99443 |
|
2,077 |
1,776 |
$49K |
| 90461 |
|
2,388 |
2,222 |
$30K |
| 90677 |
|
117 |
108 |
$24K |
| 99442 |
|
1,553 |
1,349 |
$23K |
| 90619 |
|
132 |
127 |
$17K |
| 99441 |
|
1,677 |
1,477 |
$14K |
| 90671 |
|
38 |
31 |
$8K |
| 90686 |
|
761 |
696 |
$6K |
| 97803 |
|
3,183 |
3,076 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
294 |
280 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$3K |
| 90670 |
|
256 |
228 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
173 |
$2K |
| 96127 |
|
681 |
638 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
67 |
$2K |
| 90651 |
|
27 |
26 |
$2K |
| 99215 |
Prolong outpt/office vis |
19 |
17 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$1K |
| 90716 |
|
77 |
71 |
$1K |
| 90688 |
|
115 |
107 |
$1K |
| 90473 |
|
71 |
69 |
$739.70 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$727.62 |
| 90707 |
|
85 |
80 |
$685.46 |
| 90734 |
|
26 |
26 |
$681.71 |
| 96160 |
|
187 |
172 |
$476.57 |
| 90698 |
|
29 |
26 |
$447.24 |
| 90661 |
|
88 |
85 |
$356.95 |
| 90715 |
|
49 |
47 |
$348.06 |
| 90633 |
|
59 |
56 |
$315.73 |
| 90660 |
|
30 |
30 |
$148.14 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
15 |
$129.58 |
| 97802 |
|
69 |
61 |
$87.75 |
| 90744 |
|
13 |
12 |
$25.60 |
| 90672 |
|
75 |
63 |
$23.70 |
| 90648 |
|
12 |
12 |
$17.63 |
| 90680 |
|
60 |
53 |
$0.00 |