| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,250 |
1,221 |
$130K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,335 |
6,028 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,137 |
1,112 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,290 |
5,857 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
777 |
751 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,189 |
2,051 |
$52K |
| 92552 |
|
4,207 |
4,095 |
$26K |
| 90461 |
|
1,323 |
1,202 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
265 |
251 |
$24K |
| 99173 |
|
4,166 |
4,055 |
$6K |
| 0072A |
|
125 |
125 |
$5K |
| 96127 |
|
2,098 |
2,025 |
$5K |
| 0071A |
|
108 |
107 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,303 |
1,269 |
$4K |
| 0002A |
|
50 |
50 |
$2K |
| 0001A |
|
43 |
43 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
114 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
170 |
154 |
$1K |
| 99177 |
|
257 |
245 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
114 |
$877.02 |
| 99174 |
|
344 |
337 |
$692.50 |
| 90656 |
|
323 |
320 |
$365.43 |
| 90688 |
|
84 |
78 |
$345.81 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$236.34 |
| 99072 |
|
15,031 |
13,581 |
$134.73 |
| 99000 |
|
1,553 |
1,458 |
$42.12 |
| 90686 |
|
2,547 |
2,523 |
$21.24 |
| 85018 |
|
148 |
139 |
$10.50 |
| 90698 |
|
688 |
669 |
$3.41 |
| 90670 |
|
649 |
631 |
$3.13 |
| 90651 |
|
344 |
344 |
$1.56 |
| 90734 |
|
236 |
234 |
$1.31 |
| 90680 |
|
279 |
267 |
$1.26 |
| 90633 |
|
254 |
254 |
$1.24 |
| 90744 |
|
110 |
97 |
$0.48 |
| 90715 |
|
68 |
68 |
$0.37 |
| 90696 |
|
28 |
28 |
$0.14 |
| 90710 |
|
13 |
13 |
$0.13 |
| 90716 |
|
24 |
24 |
$0.08 |
| 90658 |
|
32 |
31 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 3008F |
|
148 |
127 |
$0.00 |
| 96161 |
|
81 |
72 |
$0.00 |
| 91307 |
|
29 |
28 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |