| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,338 |
5,487 |
$332K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,303 |
1,057 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,238 |
1,027 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,258 |
1,019 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
937 |
789 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
903 |
735 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,278 |
2,807 |
$51K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,479 |
1,292 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,028 |
1,700 |
$38K |
| 92015 |
Determination of refractive state |
2,009 |
1,418 |
$33K |
| 90651 |
|
519 |
426 |
$27K |
| 90670 |
|
838 |
732 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,701 |
1,593 |
$20K |
| 87070 |
|
3,275 |
2,802 |
$20K |
| 83655 |
|
1,636 |
1,150 |
$18K |
| 96127 |
|
915 |
734 |
$13K |
| 90734 |
|
318 |
253 |
$12K |
| 86580 |
|
2,878 |
2,355 |
$11K |
| 90698 |
|
844 |
693 |
$9K |
| 82465 |
|
1,904 |
1,541 |
$8K |
| 85014 |
|
3,429 |
2,788 |
$8K |
| 85018 |
|
3,428 |
2,785 |
$8K |
| 81003 |
|
3,423 |
2,800 |
$7K |
| 90686 |
|
838 |
788 |
$7K |
| 90621 |
|
161 |
123 |
$7K |
| 90658 |
|
671 |
547 |
$6K |
| 90680 |
|
488 |
404 |
$6K |
| 90633 |
|
543 |
452 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
273 |
189 |
$4K |
| 90744 |
|
379 |
318 |
$3K |
| 99384 |
|
22 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
30 |
$2K |
| 90710 |
|
63 |
50 |
$2K |
| 90685 |
|
225 |
198 |
$2K |
| 94375 |
|
38 |
25 |
$2K |
| 90715 |
|
107 |
88 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
52 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 90696 |
|
66 |
53 |
$823.38 |
| 94664 |
|
52 |
42 |
$714.40 |
| 90716 |
|
53 |
48 |
$454.82 |
| 90707 |
|
54 |
49 |
$410.12 |
| 97802 |
|
491 |
461 |
$120.00 |
| 99177 |
|
29 |
29 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
12 |
$0.00 |