| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,713 |
5,768 |
$170K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,297 |
4,913 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,807 |
1,761 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,744 |
1,665 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,236 |
1,190 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,672 |
1,531 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,111 |
2,822 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
871 |
829 |
$44K |
| 90461 |
|
1,852 |
1,650 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,909 |
1,839 |
$30K |
| 90671 |
|
265 |
236 |
$24K |
| 99188 |
|
1,192 |
1,150 |
$22K |
| 92587 |
|
750 |
744 |
$17K |
| S9451 |
Exercise classes, non-physician provider, per session |
762 |
758 |
$13K |
| 3008F |
|
4,419 |
4,202 |
$12K |
| 90697 |
|
125 |
105 |
$10K |
| 90651 |
|
268 |
216 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
721 |
650 |
$9K |
| 90619 |
|
114 |
92 |
$8K |
| 90686 |
|
1,315 |
1,203 |
$5K |
| 90670 |
|
271 |
232 |
$3K |
| 90480 |
|
83 |
79 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
324 |
273 |
$3K |
| 99174 |
|
358 |
357 |
$3K |
| 83655 |
|
924 |
846 |
$3K |
| 0071A |
|
73 |
67 |
$3K |
| 97802 |
|
1,919 |
1,907 |
$3K |
| 90688 |
|
279 |
279 |
$2K |
| 0001A |
|
64 |
60 |
$2K |
| 96127 |
|
1,622 |
1,518 |
$2K |
| 96160 |
|
1,743 |
1,590 |
$2K |
| 0124A |
|
47 |
43 |
$2K |
| 99403 |
|
150 |
150 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$1K |
| 90633 |
|
299 |
273 |
$943.24 |
| 36416 |
|
246 |
234 |
$848.60 |
| 90710 |
|
12 |
12 |
$842.13 |
| 0072A |
|
16 |
16 |
$565.47 |
| 36406 |
|
45 |
45 |
$502.25 |
| 0081A |
|
14 |
12 |
$496.41 |
| 0154A |
|
14 |
12 |
$459.31 |
| 0002A |
|
12 |
12 |
$357.24 |
| 90715 |
|
39 |
29 |
$348.55 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
35 |
$264.25 |
| 90696 |
|
13 |
13 |
$235.32 |
| 90672 |
|
107 |
96 |
$187.43 |
| 99402 |
|
17 |
17 |
$181.60 |
| 90661 |
|
13 |
13 |
$160.97 |
| 90716 |
|
29 |
27 |
$153.47 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
105 |
101 |
$92.94 |
| 90700 |
|
15 |
15 |
$60.04 |
| 91308 |
|
67 |
56 |
$14.00 |
| 91300 |
|
65 |
62 |
$8.00 |
| 91307 |
|
118 |
107 |
$5.00 |
| 3078F |
|
346 |
329 |
$3.00 |
| 3074F |
|
349 |
332 |
$3.00 |
| 91312 |
|
51 |
43 |
$1.00 |
| 99072 |
|
242 |
239 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |
| 90680 |
|
116 |
105 |
$0.00 |
| 91305 |
|
74 |
63 |
$0.00 |