| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,697 |
7,212 |
$806K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,740 |
2,514 |
$338K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,017 |
992 |
$127K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,946 |
2,786 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
869 |
816 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,046 |
1,879 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
498 |
476 |
$64K |
| 96127 |
|
1,726 |
1,649 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
200 |
190 |
$23K |
| 92551 |
|
2,275 |
2,197 |
$14K |
| 99174 |
|
691 |
667 |
$13K |
| 99173 |
|
1,673 |
1,610 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
888 |
375 |
$11K |
| 99215 |
Prolong outpt/office vis |
40 |
38 |
$6K |
| 90473 |
|
251 |
247 |
$6K |
| 86328 |
|
114 |
103 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
188 |
179 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
118 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
882 |
374 |
$1K |
| 36416 |
|
182 |
177 |
$593.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$277.92 |
| 83655 |
|
13 |
12 |
$138.72 |
| 96160 |
|
39 |
37 |
$133.92 |
| 90686 |
|
716 |
681 |
$19.07 |
| 85018 |
|
165 |
162 |
$2.26 |
| 90672 |
|
273 |
264 |
$0.00 |
| 90461 |
|
924 |
894 |
$0.00 |
| 90670 |
|
39 |
39 |
$0.00 |
| 90633 |
|
26 |
25 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90685 |
|
19 |
17 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90698 |
|
79 |
76 |
$0.00 |
| 90660 |
|
27 |
27 |
$0.00 |