| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,735 |
6,159 |
$438K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,718 |
1,563 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,479 |
1,463 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
721 |
671 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
745 |
742 |
$39K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
534 |
510 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
226 |
$10K |
| 90686 |
|
1,750 |
1,724 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,307 |
7,181 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,514 |
3,470 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
61 |
60 |
$3K |
| 90670 |
|
730 |
723 |
$1K |
| 99381 |
|
12 |
12 |
$888.03 |
| 90474 |
|
316 |
315 |
$801.55 |
| 99173 |
|
2,096 |
2,068 |
$724.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$517.78 |
| 90688 |
|
59 |
59 |
$470.20 |
| 81002 |
|
343 |
327 |
$436.77 |
| 85018 |
|
104 |
104 |
$182.60 |
| 90656 |
|
258 |
256 |
$144.03 |
| 90685 |
|
41 |
40 |
$116.16 |
| 90633 |
|
345 |
343 |
$101.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$61.68 |
| 96127 |
|
220 |
216 |
$57.85 |
| 90698 |
|
860 |
855 |
$41.44 |
| 90677 |
|
316 |
314 |
$0.12 |
| 90619 |
|
51 |
51 |
$0.02 |
| 90680 |
|
365 |
363 |
$0.01 |
| 99072 |
|
400 |
369 |
$0.00 |
| 90710 |
|
38 |
36 |
$0.00 |
| 90715 |
|
19 |
19 |
$0.00 |
| 90651 |
|
72 |
72 |
$0.00 |
| 90744 |
|
191 |
191 |
$0.00 |
| 90696 |
|
42 |
40 |
$0.00 |