| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,092 |
6,471 |
$422K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,591 |
1,492 |
$140K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
820 |
784 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
589 |
569 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
106 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
82 |
$8K |
| 81000 |
|
1,961 |
1,846 |
$8K |
| 90688 |
|
398 |
387 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
305 |
298 |
$5K |
| 76830 |
Ultrasound, transvaginal |
54 |
50 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
27 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
33 |
27 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
110 |
86 |
$1K |
| 81025 |
|
163 |
152 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
53 |
$953.43 |
| 94760 |
|
408 |
377 |
$928.04 |
| 99173 |
|
44 |
40 |
$404.90 |
| 93000 |
|
16 |
14 |
$283.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$232.44 |
| 99401 |
|
12 |
12 |
$196.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$28.80 |