| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,585 |
4,439 |
$224K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,759 |
10,911 |
$220K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,339 |
3,263 |
$172K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,494 |
3,431 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,399 |
2,295 |
$106K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,958 |
7,805 |
$94K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,410 |
4,328 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,985 |
6,718 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,615 |
2,592 |
$71K |
| 90677 |
|
331 |
324 |
$42K |
| 90651 |
|
763 |
685 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
286 |
267 |
$14K |
| 99173 |
|
9,027 |
8,697 |
$13K |
| 90461 |
|
460 |
460 |
$11K |
| 90734 |
|
650 |
605 |
$10K |
| 90474 |
|
803 |
772 |
$8K |
| 90620 |
|
301 |
273 |
$8K |
| 90670 |
|
722 |
608 |
$5K |
| 90686 |
|
1,763 |
1,631 |
$4K |
| 90723 |
|
1,020 |
947 |
$3K |
| 90688 |
|
275 |
271 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
272 |
266 |
$3K |
| 90656 |
|
454 |
448 |
$3K |
| 90710 |
|
217 |
204 |
$2K |
| 90633 |
|
649 |
613 |
$2K |
| 99381 |
|
32 |
31 |
$2K |
| 90680 |
|
547 |
481 |
$1K |
| 90715 |
|
255 |
226 |
$1K |
| 90716 |
|
52 |
51 |
$870.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
312 |
307 |
$631.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
449 |
448 |
$589.18 |
| 90696 |
|
123 |
117 |
$418.69 |
| 90648 |
|
1,068 |
943 |
$415.41 |
| 90700 |
|
74 |
68 |
$97.76 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
45 |
$38.94 |