| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,046 |
1,759 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
797 |
656 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
384 |
351 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
339 |
313 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
171 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
100 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
845 |
758 |
$7K |
| 96160 |
|
1,238 |
1,082 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
314 |
152 |
$3K |
| 96127 |
|
512 |
431 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
56 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
26 |
$932.59 |
| 92551 |
|
92 |
72 |
$761.95 |
| 96161 |
|
218 |
201 |
$704.57 |
| 92558 |
|
94 |
75 |
$625.75 |
| 87807 |
|
64 |
63 |
$453.69 |
| 83655 |
|
54 |
43 |
$371.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
38 |
$318.82 |
| 90677 |
|
123 |
112 |
$261.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$255.05 |
| 90461 |
|
471 |
426 |
$195.93 |
| 99177 |
|
49 |
39 |
$137.16 |
| 85018 |
|
64 |
54 |
$103.15 |
| 99051 |
|
14 |
13 |
$85.40 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
33 |
$49.12 |
| 36416 |
|
79 |
69 |
$4.62 |
| 90698 |
|
255 |
235 |
$0.00 |
| 90686 |
|
51 |
46 |
$0.00 |
| 90744 |
|
29 |
25 |
$0.00 |
| 90680 |
|
53 |
46 |
$0.00 |
| 90670 |
|
123 |
115 |
$0.00 |
| 90633 |
|
46 |
38 |
$0.00 |