| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,701 |
4,572 |
$313K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,935 |
6,827 |
$288K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,512 |
12,351 |
$285K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,524 |
7,453 |
$282K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,967 |
4,926 |
$219K |
| 99381 |
|
1,887 |
1,824 |
$204K |
| 92552 |
|
11,225 |
11,198 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,166 |
4,165 |
$64K |
| 90651 |
|
2,665 |
2,630 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,615 |
3,588 |
$59K |
| 86580 |
|
13,519 |
13,488 |
$44K |
| 90686 |
|
5,931 |
5,916 |
$41K |
| 90648 |
|
5,359 |
5,304 |
$37K |
| 92551 |
|
5,717 |
5,686 |
$37K |
| 85018 |
|
21,182 |
20,493 |
$33K |
| 90670 |
|
4,581 |
4,561 |
$32K |
| 90723 |
|
3,841 |
3,827 |
$28K |
| 99383 |
|
286 |
275 |
$26K |
| 90680 |
|
3,340 |
3,328 |
$25K |
| 99460 |
|
515 |
507 |
$22K |
| 81000 |
|
11,699 |
11,586 |
$20K |
| 90633 |
|
2,991 |
2,962 |
$18K |
| 90716 |
|
2,953 |
2,948 |
$18K |
| 90707 |
|
2,774 |
2,765 |
$16K |
| 99462 |
|
825 |
510 |
$15K |
| 90700 |
|
2,404 |
2,400 |
$13K |
| 90480 |
|
298 |
291 |
$12K |
| 90715 |
|
2,176 |
2,172 |
$11K |
| 99173 |
|
4,899 |
4,890 |
$9K |
| 90713 |
|
1,467 |
1,463 |
$8K |
| 90734 |
|
1,763 |
1,759 |
$8K |
| 81002 |
|
3,868 |
3,826 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
274 |
274 |
$7K |
| 90685 |
|
1,139 |
1,134 |
$7K |
| 99384 |
|
60 |
60 |
$6K |
| 92060 |
|
2,814 |
2,814 |
$6K |
| 99382 |
|
54 |
54 |
$5K |
| 90620 |
|
909 |
907 |
$4K |
| 90658 |
|
1,801 |
1,783 |
$4K |
| 0072A |
|
75 |
73 |
$3K |
| 90671 |
|
402 |
401 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
113 |
$2K |
| 3008F |
|
2,558 |
2,556 |
$2K |
| 3078F |
|
2,516 |
2,513 |
$1K |
| 3074F |
|
2,493 |
2,491 |
$1K |
| 0071A |
|
34 |
34 |
$1K |
| 90677 |
|
148 |
148 |
$1K |
| 90744 |
|
67 |
67 |
$576.00 |
| 90672 |
|
140 |
139 |
$423.00 |
| 92081 |
|
4,342 |
4,341 |
$393.59 |
| 90657 |
|
271 |
271 |
$198.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
45 |
$115.45 |
| 90461 |
|
716 |
553 |
$0.32 |
| 91320 |
|
72 |
70 |
$0.12 |
| 91319 |
|
62 |
60 |
$0.01 |
| 91318 |
|
13 |
12 |
$0.01 |
| 81001 |
|
548 |
532 |
$0.00 |