| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,242 |
27,629 |
$2.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,161 |
7,477 |
$1000K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,791 |
4,286 |
$552K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,853 |
13,613 |
$528K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,036 |
4,100 |
$509K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16,850 |
12,705 |
$500K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,990 |
3,026 |
$365K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,762 |
1,604 |
$207K |
| 96127 |
|
11,583 |
7,413 |
$160K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,628 |
2,050 |
$107K |
| 99174 |
|
4,740 |
3,795 |
$73K |
| 92551 |
|
10,886 |
7,730 |
$48K |
| 99173 |
|
9,718 |
6,472 |
$47K |
| 36416 |
|
17,933 |
12,262 |
$41K |
| 99070 |
|
460 |
282 |
$37K |
| 96160 |
|
2,770 |
2,007 |
$31K |
| 99443 |
|
458 |
398 |
$28K |
| 99401 |
|
974 |
584 |
$26K |
| 99442 |
|
549 |
435 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
790 |
687 |
$18K |
| D0145 |
Oral evaluation for a patient under three years of age |
858 |
636 |
$16K |
| 99050 |
|
1,061 |
857 |
$13K |
| D1206 |
Topical application of fluoride varnish |
860 |
635 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,299 |
1,043 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,850 |
1,716 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
706 |
500 |
$6K |
| 99188 |
|
218 |
203 |
$5K |
| 90671 |
|
169 |
149 |
$4K |
| 99215 |
Prolong outpt/office vis |
21 |
14 |
$2K |
| 85018 |
|
18,002 |
12,728 |
$589.07 |
| 99051 |
|
50 |
45 |
$399.28 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
14 |
$367.47 |
| 86580 |
|
36 |
29 |
$194.06 |
| 90674 |
|
2,044 |
1,699 |
$32.28 |
| 90688 |
|
157 |
68 |
$20.53 |
| 90686 |
|
6,041 |
5,131 |
$19.04 |
| 90677 |
|
47 |
43 |
$0.43 |
| 90698 |
|
1,865 |
1,445 |
$0.01 |
| 90744 |
|
452 |
322 |
$0.01 |
| 90680 |
|
1,300 |
1,018 |
$0.01 |
| 90670 |
|
2,304 |
1,790 |
$0.01 |
| 90651 |
|
340 |
220 |
$0.00 |
| 99441 |
|
100 |
90 |
$0.00 |
| 90697 |
|
168 |
150 |
$0.00 |
| 90619 |
|
70 |
49 |
$0.00 |
| 90620 |
|
58 |
43 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90672 |
|
287 |
229 |
$0.00 |
| 90461 |
|
809 |
554 |
$0.00 |
| 97803 |
|
2,073 |
1,471 |
$0.00 |
| 90734 |
|
130 |
108 |
$0.00 |
| 90633 |
|
364 |
308 |
$0.00 |
| 90685 |
|
157 |
121 |
$0.00 |
| 90710 |
|
85 |
68 |
$0.00 |
| 90715 |
|
47 |
38 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |