| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,217 |
41,757 |
$3.28M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,246 |
9,235 |
$757K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,050 |
9,937 |
$726K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,903 |
8,898 |
$716K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,143 |
6,850 |
$659K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,054 |
22,930 |
$565K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,570 |
4,568 |
$408K |
| 99381 |
|
1,612 |
1,611 |
$147K |
| 99383 |
|
1,040 |
1,040 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,368 |
2,352 |
$98K |
| 99382 |
|
734 |
734 |
$71K |
| 99463 |
|
1,039 |
1,036 |
$65K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,681 |
3,570 |
$50K |
| 90474 |
|
5,018 |
5,004 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
251 |
251 |
$21K |
| 99384 |
|
186 |
186 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,014 |
1,014 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
420 |
400 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90651 |
|
2,989 |
2,985 |
$418.63 |
| 36416 |
|
89 |
88 |
$158.46 |
| 90621 |
|
707 |
706 |
$140.84 |
| 90715 |
|
1,698 |
1,697 |
$95.35 |
| 90658 |
|
2,330 |
2,327 |
$58.47 |
| 90688 |
|
603 |
599 |
$53.52 |
| 90661 |
|
426 |
426 |
$23.40 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
84 |
82 |
$2.61 |
| 90647 |
|
6,096 |
6,082 |
$0.00 |
| 90696 |
|
1,371 |
1,370 |
$0.00 |
| 90716 |
|
2,501 |
2,496 |
$0.00 |
| 90680 |
|
4,467 |
4,450 |
$0.00 |
| 90723 |
|
4,424 |
4,417 |
$0.00 |
| 90677 |
|
751 |
749 |
$0.00 |
| 90657 |
|
948 |
945 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
43 |
43 |
$0.00 |
| 90710 |
|
1,658 |
1,657 |
$0.00 |
| 90713 |
|
2,287 |
2,280 |
$0.00 |
| 90700 |
|
3,462 |
3,450 |
$0.00 |
| 90633 |
|
4,400 |
4,392 |
$0.00 |
| 90670 |
|
6,710 |
6,689 |
$0.00 |
| 90734 |
|
2,477 |
2,476 |
$0.00 |
| 90707 |
|
2,379 |
2,374 |
$0.00 |
| 90681 |
|
410 |
408 |
$0.00 |
| 99173 |
|
38 |
38 |
$0.00 |