| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24,360 |
17,253 |
$1.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,633 |
11,953 |
$1.13M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,290 |
2,288 |
$201K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,250 |
2,084 |
$182K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,373 |
5,311 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,646 |
1,644 |
$147K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
957 |
956 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
767 |
767 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,975 |
9,911 |
$64K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
880 |
877 |
$55K |
| 87070 |
|
10,436 |
9,437 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,730 |
2,051 |
$39K |
| 87184 |
|
10,454 |
9,453 |
$39K |
| 92587 |
|
2,384 |
2,383 |
$34K |
| 92567 |
|
2,647 |
2,647 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
445 |
442 |
$25K |
| 90461 |
|
742 |
739 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
669 |
669 |
$5K |
| 99173 |
|
1,790 |
1,790 |
$3K |
| 81002 |
|
1,947 |
1,925 |
$3K |
| 36406 |
|
228 |
217 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 36410 |
|
87 |
81 |
$816.20 |
| 36415 |
Collection of venous blood by venipuncture |
618 |
618 |
$318.10 |
| 90686 |
|
500 |
500 |
$175.62 |
| 90713 |
|
212 |
211 |
$41.90 |
| 90688 |
|
46 |
46 |
$31.11 |
| 99000 |
|
2,349 |
2,263 |
$5.54 |
| 90677 |
|
110 |
110 |
$0.74 |
| 90619 |
|
127 |
127 |
$0.05 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 90700 |
|
371 |
370 |
$0.00 |
| 90648 |
|
80 |
80 |
$0.00 |
| 90670 |
|
41 |
41 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |