| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,503 |
10,849 |
$538K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,012 |
4,503 |
$320K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,736 |
8,021 |
$296K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,468 |
3,313 |
$197K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,693 |
3,256 |
$182K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,100 |
2,027 |
$119K |
| 90670 |
|
2,126 |
2,008 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,352 |
1,295 |
$84K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,126 |
6,569 |
$53K |
| 92552 |
|
3,687 |
3,565 |
$43K |
| 90716 |
|
866 |
827 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,695 |
2,520 |
$33K |
| 90633 |
|
1,119 |
1,077 |
$27K |
| 90707 |
|
773 |
741 |
$21K |
| 90649 |
|
454 |
431 |
$14K |
| 90648 |
|
2,258 |
2,137 |
$12K |
| 99188 |
|
688 |
623 |
$11K |
| 90686 |
|
1,497 |
1,457 |
$10K |
| 90734 |
|
238 |
236 |
$10K |
| 92567 |
|
772 |
679 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
358 |
342 |
$9K |
| 99381 |
|
127 |
123 |
$8K |
| 99173 |
|
3,237 |
3,113 |
$7K |
| 96127 |
|
1,623 |
1,453 |
$6K |
| 90700 |
|
2,168 |
2,044 |
$5K |
| 90672 |
|
346 |
330 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
377 |
346 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
285 |
187 |
$4K |
| 90619 |
|
80 |
78 |
$4K |
| 36416 |
|
1,379 |
1,327 |
$4K |
| 90713 |
|
1,457 |
1,366 |
$3K |
| 99383 |
|
41 |
41 |
$3K |
| 85018 |
|
1,405 |
1,345 |
$3K |
| 90680 |
|
1,449 |
1,359 |
$3K |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$3K |
| 99382 |
|
38 |
36 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
195 |
184 |
$2K |
| 90744 |
|
843 |
805 |
$2K |
| 90480 |
|
47 |
45 |
$2K |
| 90696 |
|
168 |
165 |
$1K |
| 90715 |
|
67 |
67 |
$834.01 |
| 90473 |
|
51 |
51 |
$824.61 |
| 90671 |
|
258 |
244 |
$778.38 |
| 99050 |
|
45 |
44 |
$731.80 |
| 90461 |
|
5,281 |
1,916 |
$490.00 |
| 90474 |
|
29 |
26 |
$143.78 |
| 90687 |
|
12 |
12 |
$59.35 |
| 90688 |
|
64 |
63 |
$56.20 |
| 90723 |
|
17 |
17 |
$40.00 |
| 90685 |
|
182 |
178 |
$30.02 |
| 3008F |
|
311 |
302 |
$20.00 |
| 90698 |
|
32 |
31 |
$20.00 |
| 90710 |
|
13 |
13 |
$10.00 |
| 91321 |
|
13 |
13 |
$0.00 |
| 90658 |
|
17 |
17 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |