| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,002 |
19,441 |
$864K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,358 |
3,079 |
$177K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,416 |
2,229 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,273 |
2,098 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,360 |
3,987 |
$101K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,194 |
4,862 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,247 |
1,120 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,057 |
984 |
$68K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,364 |
3,207 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,026 |
968 |
$58K |
| 92551 |
|
7,014 |
6,536 |
$53K |
| 99050 |
|
1,994 |
1,811 |
$31K |
| 99215 |
Prolong outpt/office vis |
254 |
227 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
225 |
207 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,300 |
1,195 |
$13K |
| 99173 |
|
7,511 |
6,805 |
$13K |
| 81025 |
|
2,399 |
2,166 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
176 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,231 |
401 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
992 |
699 |
$8K |
| 0002A |
|
108 |
104 |
$5K |
| 0001A |
|
126 |
107 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
80 |
$4K |
| 90473 |
|
453 |
414 |
$4K |
| 81002 |
|
1,090 |
954 |
$2K |
| 99383 |
|
24 |
24 |
$2K |
| 96127 |
|
985 |
646 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
209 |
164 |
$1K |
| 0071A |
|
14 |
12 |
$716.66 |
| 99385 |
|
15 |
14 |
$693.53 |
| 82962 |
|
248 |
192 |
$468.12 |
| 81000 |
|
259 |
185 |
$310.41 |
| 97802 |
|
4,365 |
3,799 |
$93.14 |
| 96160 |
|
85 |
73 |
$91.65 |
| H0049 |
Alcohol and/or drug screening |
838 |
510 |
$85.00 |
| 96161 |
|
1,524 |
1,011 |
$60.35 |
| 94760 |
|
12 |
12 |
$2.92 |
| 90633 |
|
288 |
251 |
$0.00 |
| 90670 |
|
843 |
803 |
$0.00 |
| 90707 |
|
268 |
245 |
$0.00 |
| 90672 |
|
243 |
229 |
$0.00 |
| 90734 |
|
627 |
607 |
$0.00 |
| 3078F |
|
232 |
201 |
$0.00 |
| 90700 |
|
313 |
288 |
$0.00 |
| 3077F |
|
285 |
240 |
$0.00 |
| 91300 |
|
262 |
229 |
$0.00 |
| 90715 |
|
205 |
190 |
$0.00 |
| 90648 |
|
112 |
111 |
$0.00 |
| 90713 |
|
89 |
75 |
$0.00 |
| 90710 |
|
42 |
33 |
$0.00 |
| 90671 |
|
40 |
31 |
$0.00 |
| 90714 |
|
39 |
35 |
$0.00 |
| 90651 |
|
965 |
909 |
$0.00 |
| 90620 |
|
687 |
646 |
$0.00 |
| 90698 |
|
209 |
197 |
$0.00 |
| 3074F |
|
382 |
317 |
$0.00 |
| 3079F |
|
238 |
195 |
$0.00 |
| 90686 |
|
657 |
615 |
$0.00 |
| 90716 |
|
251 |
228 |
$0.00 |
| 90660 |
|
38 |
38 |
$0.00 |
| 2010F |
|
180 |
145 |
$0.00 |
| 90674 |
|
81 |
76 |
$0.00 |
| 91307 |
|
31 |
29 |
$0.00 |
| 3008F |
|
596 |
518 |
$0.00 |
| 90619 |
|
133 |
105 |
$0.00 |
| 90680 |
|
51 |
49 |
$0.00 |
| 3080F |
|
247 |
206 |
$0.00 |
| 90744 |
|
78 |
71 |
$0.00 |
| 3075F |
|
85 |
71 |
$0.00 |