| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,818 |
5,038 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,028 |
943 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
723 |
688 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
728 |
676 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,470 |
2,245 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
789 |
741 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,529 |
2,305 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,820 |
853 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
240 |
213 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
143 |
135 |
$6K |
| 99381 |
|
105 |
83 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
377 |
348 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
44 |
$3K |
| 87807 |
|
271 |
254 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
121 |
105 |
$2K |
| 3008F |
|
92 |
76 |
$750.00 |
| 90670 |
|
635 |
594 |
$464.00 |
| 90474 |
|
38 |
35 |
$311.51 |
| 90698 |
|
393 |
368 |
$250.00 |
| 81003 |
|
82 |
73 |
$114.67 |
| 83655 |
|
12 |
12 |
$110.56 |
| 90680 |
|
321 |
297 |
$106.00 |
| 85018 |
|
13 |
12 |
$20.64 |
| 90633 |
|
214 |
200 |
$0.00 |
| 90707 |
|
33 |
33 |
$0.00 |
| 90715 |
|
17 |
15 |
$0.00 |
| 90648 |
|
139 |
130 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 90734 |
|
16 |
14 |
$0.00 |
| 90688 |
|
30 |
29 |
$0.00 |
| 90716 |
|
84 |
75 |
$0.00 |
| 90744 |
|
88 |
81 |
$0.00 |
| 90723 |
|
97 |
93 |
$0.00 |