| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,578 |
5,999 |
$423K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,966 |
3,712 |
$378K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,617 |
2,476 |
$169K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,232 |
2,178 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,190 |
2,072 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,103 |
1,036 |
$71K |
| 90670 |
|
1,868 |
1,836 |
$36K |
| 90723 |
|
1,619 |
1,593 |
$31K |
| 90648 |
|
1,605 |
1,567 |
$31K |
| 90680 |
|
1,393 |
1,375 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,233 |
1,163 |
$25K |
| 90707 |
|
1,092 |
1,052 |
$20K |
| 90716 |
|
1,067 |
1,030 |
$20K |
| 92551 |
|
3,939 |
3,731 |
$20K |
| 99173 |
|
4,444 |
4,204 |
$19K |
| 90633 |
|
670 |
651 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
5,571 |
5,357 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
719 |
684 |
$9K |
| 90651 |
|
392 |
370 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
690 |
666 |
$7K |
| 90671 |
|
320 |
310 |
$6K |
| 90734 |
|
283 |
268 |
$5K |
| 90686 |
|
236 |
220 |
$4K |
| 90696 |
|
174 |
167 |
$3K |
| 90688 |
|
157 |
154 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
152 |
147 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$3K |
| 36416 |
|
956 |
914 |
$2K |
| 90700 |
|
121 |
119 |
$2K |
| 90715 |
|
112 |
106 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$1K |
| 99383 |
|
13 |
13 |
$860.00 |
| 85018 |
|
7,046 |
6,764 |
$830.20 |
| 90461 |
|
13 |
13 |
$790.74 |
| 87807 |
|
44 |
37 |
$406.99 |
| 90687 |
|
13 |
13 |
$257.27 |
| 90649 |
|
14 |
13 |
$257.27 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$108.00 |