| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,207 |
20,375 |
$1.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,786 |
10,417 |
$1.16M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,725 |
19,407 |
$903K |
| 90461 |
|
11,429 |
9,820 |
$822K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,602 |
7,579 |
$784K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,155 |
5,134 |
$540K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,020 |
5,012 |
$514K |
| 99173 |
|
11,250 |
11,230 |
$236K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,068 |
2,065 |
$209K |
| 92551 |
|
3,618 |
3,609 |
$41K |
| 99177 |
|
2,244 |
2,236 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,224 |
1,217 |
$26K |
| 99080 |
|
4,271 |
4,256 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,033 |
1,027 |
$16K |
| 96127 |
|
2,533 |
2,380 |
$15K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
82 |
82 |
$10K |
| 99381 |
|
53 |
53 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
598 |
592 |
$9K |
| 99215 |
Prolong outpt/office vis |
79 |
75 |
$9K |
| 99058 |
|
180 |
170 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
178 |
87 |
$3K |
| 99441 |
|
34 |
33 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 90686 |
|
4,851 |
4,837 |
$2K |
| 87430 |
|
58 |
58 |
$895.07 |
| 99174 |
|
80 |
80 |
$735.70 |
| 96161 |
|
110 |
110 |
$497.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$463.21 |
| 85018 |
|
90 |
90 |
$198.98 |
| 96160 |
|
42 |
42 |
$174.77 |
| 90723 |
|
1,250 |
1,248 |
$32.38 |
| 3008F |
|
3,532 |
3,523 |
$15.00 |
| 90651 |
|
473 |
472 |
$15.00 |
| 90670 |
|
3,047 |
3,037 |
$0.02 |
| 90680 |
|
1,592 |
1,588 |
$0.02 |
| 90647 |
|
1,102 |
1,097 |
$0.01 |
| 90633 |
|
734 |
731 |
$0.00 |
| 90685 |
|
410 |
406 |
$0.00 |
| 90707 |
|
53 |
53 |
$0.00 |
| 90671 |
|
218 |
218 |
$0.00 |
| 90734 |
|
86 |
86 |
$0.00 |
| 90710 |
|
28 |
28 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90656 |
|
464 |
464 |
$0.00 |
| 90677 |
|
395 |
394 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| 90697 |
|
463 |
461 |
$0.00 |
| 90619 |
|
51 |
51 |
$0.00 |
| 90696 |
|
59 |
59 |
$0.00 |
| 90674 |
|
437 |
434 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |