| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,256 |
2,871 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,843 |
1,496 |
$107K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,296 |
1,958 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,421 |
1,302 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
799 |
769 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,120 |
1,087 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,468 |
1,419 |
$16K |
| 99460 |
|
294 |
276 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
312 |
291 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
89 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
364 |
337 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
164 |
149 |
$4K |
| 99462 |
|
174 |
127 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
222 |
205 |
$2K |
| 90670 |
|
837 |
807 |
$1K |
| 90716 |
|
125 |
122 |
$575.00 |
| 36416 |
|
225 |
207 |
$519.56 |
| 90707 |
|
128 |
124 |
$492.11 |
| 90723 |
|
421 |
408 |
$209.34 |
| 90647 |
|
623 |
608 |
$139.20 |
| 90633 |
|
207 |
201 |
$129.76 |
| 96127 |
|
26 |
26 |
$114.64 |
| 81002 |
|
26 |
24 |
$80.50 |
| 90688 |
|
69 |
62 |
$20.85 |
| 90686 |
|
15 |
15 |
$0.00 |
| 99000 |
|
531 |
464 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90687 |
|
63 |
63 |
$0.00 |
| 90681 |
|
126 |
122 |
$0.00 |