| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,850 |
8,900 |
$735K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,421 |
3,023 |
$333K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,010 |
1,789 |
$206K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,524 |
5,205 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,982 |
1,812 |
$192K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,592 |
1,398 |
$149K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,132 |
964 |
$99K |
| 96127 |
|
5,029 |
4,223 |
$69K |
| 99174 |
|
1,285 |
1,099 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
450 |
410 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,082 |
864 |
$16K |
| 99382 |
|
71 |
62 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
703 |
608 |
$3K |
| 99383 |
|
27 |
26 |
$3K |
| 90650 |
|
1,483 |
1,128 |
$432.72 |
| 90734 |
|
148 |
99 |
$261.24 |
| 90733 |
|
389 |
247 |
$244.84 |
| 90686 |
|
1,381 |
1,228 |
$135.72 |
| 86403 |
|
411 |
327 |
$9.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
14 |
$2.76 |
| 90633 |
|
617 |
521 |
$0.00 |
| 90671 |
|
329 |
213 |
$0.00 |
| 90670 |
|
811 |
624 |
$0.00 |
| 90710 |
|
198 |
174 |
$0.00 |
| 90648 |
|
467 |
402 |
$0.00 |
| 90461 |
|
80 |
71 |
$0.00 |
| 90715 |
|
156 |
135 |
$0.00 |
| 90473 |
|
61 |
60 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90681 |
|
13 |
12 |
$0.00 |
| 90697 |
|
274 |
161 |
$0.00 |
| 90656 |
|
114 |
111 |
$0.00 |
| 90696 |
|
72 |
50 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90723 |
|
40 |
37 |
$0.00 |
| 90680 |
|
157 |
85 |
$0.00 |