| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,084 |
1,688 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,125 |
895 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,623 |
1,362 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
886 |
760 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
769 |
648 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
168 |
149 |
$11K |
| 97802 |
|
764 |
611 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
966 |
335 |
$6K |
| 92552 |
|
313 |
256 |
$5K |
| 3008F |
|
1,071 |
863 |
$4K |
| 96127 |
|
804 |
646 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
259 |
239 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
537 |
382 |
$2K |
| 96161 |
|
617 |
535 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
53 |
$803.90 |
| 99177 |
|
154 |
132 |
$467.87 |
| 99173 |
|
245 |
208 |
$432.48 |
| 96160 |
|
73 |
64 |
$118.26 |
| 92587 |
|
14 |
14 |
$71.01 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$13.41 |
| 90686 |
|
478 |
418 |
$0.00 |
| 99000 |
|
79 |
77 |
$0.00 |
| 90647 |
|
311 |
281 |
$0.00 |
| 90723 |
|
425 |
363 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90680 |
|
216 |
192 |
$0.00 |
| 90716 |
|
42 |
36 |
$0.00 |
| 99070 |
|
13 |
13 |
$0.00 |
| 90670 |
|
589 |
512 |
$0.00 |
| 90685 |
|
80 |
70 |
$0.00 |
| 90633 |
|
29 |
27 |
$0.00 |
| 99072 |
|
65 |
64 |
$0.00 |
| 90707 |
|
49 |
42 |
$0.00 |