| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,524 |
3,805 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,450 |
1,282 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
790 |
675 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
635 |
567 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
700 |
584 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
422 |
373 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,740 |
1,468 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,008 |
907 |
$16K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
92 |
86 |
$13K |
| 96127 |
|
798 |
701 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
540 |
230 |
$10K |
| 99173 |
|
1,048 |
966 |
$7K |
| 90651 |
|
148 |
137 |
$7K |
| 90670 |
|
500 |
424 |
$6K |
| 90686 |
|
466 |
384 |
$5K |
| 90734 |
|
122 |
107 |
$4K |
| 90648 |
|
518 |
433 |
$4K |
| 83655 |
|
317 |
249 |
$4K |
| 90723 |
|
337 |
281 |
$3K |
| 90680 |
|
286 |
245 |
$3K |
| 90633 |
|
276 |
232 |
$2K |
| 36416 |
|
431 |
356 |
$2K |
| 90716 |
|
115 |
103 |
$1K |
| 90707 |
|
113 |
103 |
$1K |
| 85018 |
|
406 |
330 |
$939.60 |
| 90685 |
|
88 |
68 |
$628.02 |
| 90715 |
|
33 |
31 |
$469.36 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
23 |
16 |
$362.50 |
| 90656 |
|
20 |
20 |
$338.13 |
| 81003 |
|
132 |
118 |
$289.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
78 |
$7.50 |
| 99072 |
|
191 |
158 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
48 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
27 |
$0.00 |