| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,496 |
7,551 |
$357K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,466 |
4,217 |
$268K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,137 |
2,066 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,529 |
1,529 |
$107K |
| 97802 |
|
2,574 |
2,564 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,341 |
1,278 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
652 |
652 |
$57K |
| 92551 |
|
3,182 |
3,178 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
700 |
685 |
$11K |
| 90670 |
|
1,138 |
1,085 |
$11K |
| 90686 |
|
1,147 |
1,142 |
$11K |
| 85018 |
|
4,966 |
4,905 |
$10K |
| 99173 |
|
3,162 |
3,159 |
$10K |
| 90707 |
|
612 |
588 |
$9K |
| 86580 |
|
2,226 |
2,179 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
166 |
151 |
$7K |
| 81002 |
|
3,190 |
3,161 |
$7K |
| 90698 |
|
718 |
682 |
$6K |
| 90716 |
|
647 |
623 |
$6K |
| 90633 |
|
616 |
588 |
$6K |
| 90680 |
|
506 |
477 |
$5K |
| 83655 |
|
383 |
373 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
246 |
237 |
$3K |
| 99381 |
|
28 |
26 |
$2K |
| 90734 |
|
218 |
218 |
$2K |
| 90651 |
|
158 |
158 |
$2K |
| 90658 |
|
152 |
152 |
$1K |
| 90744 |
|
126 |
124 |
$1K |
| 90715 |
|
108 |
108 |
$972.00 |
| 90649 |
|
78 |
78 |
$702.00 |
| 90677 |
|
66 |
57 |
$585.00 |
| 90696 |
|
60 |
60 |
$540.00 |
| 90700 |
|
41 |
41 |
$379.32 |
| 90656 |
|
28 |
28 |
$318.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
39 |
$313.93 |
| 90461 |
|
15 |
14 |
$128.60 |
| 90655 |
|
14 |
14 |
$126.00 |
| 90648 |
|
13 |
13 |
$117.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$45.00 |
| 96160 |
|
100 |
96 |
$18.41 |
| 99000 |
|
150 |
142 |
$10.77 |