| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,845 |
8,773 |
$762K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,588 |
6,315 |
$256K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,272 |
2,180 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,237 |
2,027 |
$232K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,878 |
1,787 |
$194K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,753 |
1,635 |
$174K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,317 |
1,251 |
$148K |
| 92558 |
|
3,738 |
3,578 |
$89K |
| 96127 |
|
3,528 |
3,365 |
$60K |
| 99177 |
|
3,051 |
2,974 |
$59K |
| 99401 |
|
1,529 |
1,501 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,023 |
1,957 |
$34K |
| 99215 |
Prolong outpt/office vis |
195 |
169 |
$26K |
| 99173 |
|
1,888 |
1,756 |
$13K |
| 99442 |
|
241 |
217 |
$10K |
| 36416 |
|
1,559 |
1,481 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
101 |
$5K |
| 92587 |
|
118 |
111 |
$4K |
| 99384 |
|
25 |
25 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
231 |
84 |
$2K |
| 83655 |
|
126 |
120 |
$1K |
| 85018 |
|
1,558 |
1,478 |
$142.38 |
| 90686 |
|
3,446 |
3,337 |
$0.17 |
| 90685 |
|
190 |
179 |
$0.01 |
| 90670 |
|
1,109 |
1,065 |
$0.00 |
| 90681 |
|
89 |
88 |
$0.00 |
| 90633 |
|
218 |
213 |
$0.00 |
| 90734 |
|
59 |
59 |
$0.00 |
| 90671 |
|
132 |
130 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90647 |
|
718 |
703 |
$0.00 |
| 90619 |
|
114 |
112 |
$0.00 |
| 90680 |
|
188 |
183 |
$0.00 |
| 90723 |
|
698 |
674 |
$0.00 |
| 90651 |
|
195 |
171 |
$0.00 |