| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,264 |
1,105 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,164 |
977 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,490 |
1,403 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,023 |
995 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,175 |
1,933 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,438 |
2,053 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
603 |
535 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
347 |
309 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
907 |
853 |
$11K |
| 90461 |
|
1,567 |
1,225 |
$10K |
| 92551 |
|
1,581 |
1,434 |
$10K |
| 87428 |
|
144 |
137 |
$9K |
| 90670 |
|
801 |
687 |
$9K |
| 99381 |
|
85 |
78 |
$3K |
| 90651 |
|
71 |
58 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
195 |
160 |
$1K |
| 99382 |
|
12 |
12 |
$955.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
82 |
$722.80 |
| 99383 |
|
13 |
12 |
$711.24 |
| 83655 |
|
84 |
70 |
$699.47 |
| 99384 |
|
13 |
13 |
$683.08 |
| 90710 |
|
135 |
115 |
$676.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
104 |
98 |
$451.34 |
| 90686 |
|
405 |
361 |
$340.88 |
| 99173 |
|
1,690 |
1,526 |
$308.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
41 |
$297.92 |
| 85018 |
|
158 |
128 |
$235.35 |
| 90723 |
|
515 |
442 |
$165.65 |
| 90715 |
|
25 |
19 |
$144.90 |
| 90734 |
|
40 |
34 |
$132.92 |
| 90700 |
|
32 |
25 |
$111.64 |
| 90633 |
|
375 |
325 |
$101.95 |
| 90680 |
|
382 |
321 |
$90.64 |
| 90696 |
|
17 |
12 |
$50.05 |
| 90648 |
|
774 |
669 |
$34.41 |
| 90688 |
|
256 |
249 |
$33.60 |