| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,030 |
20,241 |
$1.29M |
| 99199 |
Unlisted special service, procedure or report |
103,303 |
64,131 |
$600K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,045 |
1,845 |
$167K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,283 |
2,757 |
$129K |
| 99051 |
|
5,308 |
4,388 |
$121K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,306 |
2,833 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,640 |
1,395 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
131 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
94 |
93 |
$10K |
| 96127 |
|
2,303 |
1,790 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
420 |
216 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
39 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
91 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
13 |
$2K |
| 0072A |
|
23 |
14 |
$1K |
| 90686 |
|
587 |
488 |
$910.33 |
| 0071A |
|
21 |
12 |
$758.87 |
| 90688 |
|
375 |
302 |
$392.40 |
| 92551 |
|
118 |
112 |
$138.62 |
| 90461 |
|
20 |
12 |
$102.11 |
| 99173 |
|
210 |
182 |
$72.84 |
| 90656 |
|
87 |
79 |
$20.94 |
| 81003 |
|
19 |
17 |
$11.08 |
| 3074F |
|
30 |
26 |
$0.00 |
| 90698 |
|
33 |
27 |
$0.00 |
| 90734 |
|
14 |
12 |
$0.00 |
| 90670 |
|
38 |
24 |
$0.00 |
| 3078F |
|
30 |
26 |
$0.00 |