| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,141 |
12,100 |
$893K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,828 |
6,346 |
$678K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,215 |
9,761 |
$231K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,360 |
2,262 |
$228K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,219 |
2,178 |
$223K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,525 |
1,431 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,214 |
1,180 |
$115K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,715 |
4,541 |
$103K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,376 |
5,242 |
$92K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,963 |
8,529 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,260 |
1,191 |
$13K |
| 99174 |
|
618 |
606 |
$12K |
| 92551 |
|
1,546 |
1,445 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
210 |
198 |
$8K |
| 90473 |
|
273 |
263 |
$7K |
| 96127 |
|
376 |
355 |
$6K |
| 99051 |
|
916 |
874 |
$6K |
| 90474 |
|
452 |
444 |
$6K |
| 99173 |
|
477 |
455 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
128 |
$1K |
| 36416 |
|
183 |
180 |
$586.43 |
| 94760 |
|
185 |
161 |
$285.52 |
| 90686 |
|
3,940 |
3,794 |
$228.38 |
| 90620 |
|
82 |
77 |
$178.50 |
| 81002 |
|
7,971 |
7,512 |
$9.76 |
| 90677 |
|
212 |
204 |
$0.08 |
| 90670 |
|
891 |
870 |
$0.00 |
| 90648 |
|
572 |
562 |
$0.00 |
| 90672 |
|
328 |
318 |
$0.00 |
| 90734 |
|
171 |
169 |
$0.00 |
| 90633 |
|
181 |
178 |
$0.00 |
| 90707 |
|
147 |
143 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 90723 |
|
176 |
175 |
$0.00 |
| 90697 |
|
182 |
175 |
$0.00 |
| 90716 |
|
176 |
172 |
$0.00 |
| 90680 |
|
395 |
386 |
$0.00 |
| 90651 |
|
121 |
105 |
$0.00 |
| 85018 |
|
97 |
97 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |