| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,986 |
9,526 |
$659K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,839 |
3,538 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,941 |
1,789 |
$183K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,863 |
1,619 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,643 |
1,526 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
938 |
900 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
238 |
233 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
702 |
655 |
$25K |
| 96160 |
|
4,754 |
3,703 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,142 |
1,070 |
$17K |
| 99381 |
|
108 |
99 |
$10K |
| 96161 |
|
3,171 |
2,889 |
$9K |
| 90461 |
|
1,824 |
1,668 |
$6K |
| 92081 |
|
315 |
313 |
$5K |
| 92551 |
|
1,846 |
1,731 |
$5K |
| 96127 |
|
933 |
868 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
299 |
268 |
$3K |
| 99173 |
|
1,838 |
1,716 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
43 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
13 |
$934.43 |
| 90670 |
|
1,094 |
1,010 |
$727.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
26 |
$480.90 |
| 92552 |
|
160 |
159 |
$397.26 |
| 83655 |
|
40 |
39 |
$125.25 |
| 90716 |
|
272 |
260 |
$122.02 |
| 90672 |
|
20 |
20 |
$72.57 |
| 90707 |
|
294 |
276 |
$70.92 |
| 99429 |
|
13 |
13 |
$70.00 |
| 90633 |
|
398 |
370 |
$30.00 |
| 90688 |
|
333 |
307 |
$16.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
14 |
$2.91 |
| 5250F |
|
267 |
257 |
$0.08 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,594 |
3,323 |
$0.00 |
| 90680 |
|
545 |
500 |
$0.00 |
| 90651 |
|
90 |
83 |
$0.00 |
| 90723 |
|
515 |
484 |
$0.00 |
| 90686 |
|
314 |
294 |
$0.00 |
| 90656 |
|
26 |
26 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90648 |
|
1,066 |
981 |
$0.00 |
| 90734 |
|
19 |
16 |
$0.00 |
| 90700 |
|
256 |
233 |
$0.00 |
| 90713 |
|
62 |
56 |
$0.00 |
| 90685 |
|
27 |
18 |
$0.00 |