| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,193 |
8,830 |
$1.03M |
| 99401 |
|
3,846 |
3,693 |
$98K |
| 92552 |
|
2,714 |
2,701 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,322 |
3,213 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
759 |
759 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
601 |
601 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
208 |
208 |
$23K |
| 93000 |
|
1,381 |
1,378 |
$21K |
| 99051 |
|
2,612 |
2,334 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
123 |
123 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$7K |
| 90461 |
|
114 |
112 |
$4K |
| 90686 |
|
1,314 |
1,313 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
223 |
211 |
$3K |
| 92283 |
|
228 |
228 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
16 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
128 |
69 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
858 |
853 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
52 |
$862.95 |
| 99173 |
|
2,181 |
2,178 |
$582.96 |
| 90656 |
|
103 |
103 |
$229.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
105 |
104 |
$176.99 |
| 90672 |
|
61 |
61 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |