| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,901 |
7,971 |
$332K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,620 |
3,366 |
$190K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,267 |
2,212 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,203 |
2,079 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,512 |
1,477 |
$120K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,079 |
1,059 |
$93K |
| 99429 |
|
2,436 |
2,415 |
$77K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,217 |
4,133 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,238 |
1,179 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,328 |
1,283 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,494 |
1,483 |
$30K |
| 86328 |
|
551 |
538 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,049 |
1,683 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,067 |
1,055 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
369 |
364 |
$10K |
| 99050 |
|
678 |
658 |
$10K |
| 90461 |
|
1,440 |
1,128 |
$9K |
| 99381 |
|
94 |
91 |
$7K |
| 83655 |
|
320 |
320 |
$3K |
| 0071A |
|
42 |
42 |
$2K |
| 0072A |
|
36 |
36 |
$1K |
| 96161 |
|
858 |
851 |
$1K |
| 0001A |
|
25 |
25 |
$1K |
| 0081A |
|
16 |
16 |
$577.75 |
| 0002A |
|
14 |
14 |
$560.00 |
| 87807 |
|
30 |
30 |
$330.00 |
| 90677 |
|
257 |
256 |
$152.80 |
| 90686 |
|
1,284 |
1,270 |
$79.80 |
| 90619 |
|
127 |
127 |
$75.85 |
| 90670 |
|
1,307 |
1,303 |
$35.00 |
| 90647 |
|
1,040 |
1,036 |
$30.80 |
| 90680 |
|
1,116 |
1,108 |
$29.35 |
| 90633 |
|
706 |
703 |
$26.65 |
| 90707 |
|
605 |
605 |
$23.85 |
| 90716 |
|
590 |
586 |
$22.85 |
| 90685 |
|
576 |
573 |
$17.50 |
| 90723 |
|
685 |
683 |
$15.00 |
| 91307 |
|
144 |
142 |
$12.95 |
| 90651 |
|
251 |
249 |
$11.65 |
| 90734 |
|
131 |
131 |
$11.40 |
| 90698 |
|
445 |
445 |
$7.35 |
| 90696 |
|
84 |
84 |
$5.95 |
| 91300 |
|
58 |
54 |
$5.25 |
| 90715 |
|
89 |
88 |
$5.15 |
| 91308 |
|
48 |
48 |
$3.15 |
| 90672 |
|
28 |
27 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 90710 |
|
18 |
18 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |