| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,697 |
3,129 |
$187K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,859 |
1,508 |
$145K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,686 |
2,238 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,037 |
920 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,207 |
997 |
$82K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,443 |
2,860 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
475 |
375 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
292 |
252 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,086 |
965 |
$14K |
| 92551 |
|
1,598 |
1,388 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,019 |
422 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
884 |
671 |
$9K |
| 99173 |
|
1,476 |
1,279 |
$7K |
| 99177 |
|
907 |
780 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
272 |
235 |
$5K |
| 99381 |
|
55 |
41 |
$3K |
| 96161 |
|
603 |
443 |
$3K |
| 96127 |
|
441 |
377 |
$3K |
| 90651 |
|
136 |
116 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
719 |
592 |
$1K |
| 85018 |
|
686 |
519 |
$1K |
| 90670 |
|
1,082 |
877 |
$1K |
| 90686 |
|
782 |
726 |
$835.14 |
| 99174 |
|
94 |
71 |
$652.40 |
| 69210 |
|
27 |
13 |
$628.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
121 |
114 |
$609.04 |
| 99383 |
|
21 |
14 |
$450.48 |
| 90620 |
|
14 |
14 |
$403.65 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$373.11 |
| 90461 |
|
1,494 |
1,204 |
$315.28 |
| 90734 |
|
95 |
83 |
$271.00 |
| 90716 |
|
416 |
335 |
$180.73 |
| 90633 |
|
580 |
478 |
$163.01 |
| 90680 |
|
529 |
468 |
$112.50 |
| 90723 |
|
82 |
77 |
$109.68 |
| 80061 |
Lipid panel |
15 |
12 |
$107.37 |
| 36416 |
|
65 |
61 |
$105.42 |
| 90707 |
|
394 |
319 |
$104.37 |
| J3490 |
Unclassified drugs |
40 |
35 |
$29.21 |
| 90688 |
|
819 |
682 |
$14.89 |
| 90648 |
|
190 |
163 |
$14.70 |
| 90715 |
|
30 |
25 |
$0.00 |
| 90685 |
|
140 |
131 |
$0.00 |
| 90700 |
|
156 |
116 |
$0.00 |
| 99051 |
|
14 |
12 |
$0.00 |
| 90744 |
|
348 |
297 |
$0.00 |
| 90698 |
|
533 |
468 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |