| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,347 |
6,583 |
$372K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,450 |
2,746 |
$237K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,304 |
1,928 |
$179K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,000 |
1,524 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,315 |
1,108 |
$100K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,794 |
3,952 |
$61K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,903 |
2,428 |
$47K |
| 99215 |
Prolong outpt/office vis |
192 |
169 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
179 |
159 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,488 |
1,129 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,434 |
524 |
$15K |
| 92551 |
|
1,269 |
1,152 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
641 |
489 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
254 |
198 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
130 |
87 |
$6K |
| 99173 |
|
858 |
790 |
$5K |
| 96161 |
|
688 |
559 |
$4K |
| 90474 |
|
286 |
244 |
$3K |
| 96127 |
|
317 |
297 |
$2K |
| 99177 |
|
172 |
164 |
$1K |
| 87420 |
|
140 |
79 |
$800.12 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$686.09 |
| 99174 |
|
44 |
40 |
$378.90 |
| 85018 |
|
52 |
49 |
$121.53 |
| 36416 |
|
56 |
53 |
$81.80 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
25 |
$69.40 |
| 90656 |
|
408 |
327 |
$67.52 |
| 90686 |
|
764 |
611 |
$31.05 |
| 90680 |
|
374 |
315 |
$0.00 |
| 90677 |
|
595 |
521 |
$0.00 |
| 90723 |
|
620 |
513 |
$0.00 |
| 90716 |
|
20 |
14 |
$0.00 |
| 90651 |
|
27 |
24 |
$0.00 |
| 90648 |
|
1,184 |
975 |
$0.00 |
| 90670 |
|
631 |
507 |
$0.00 |
| 90633 |
|
238 |
204 |
$0.00 |
| 90661 |
|
13 |
12 |
$0.00 |
| 90710 |
|
26 |
24 |
$0.00 |
| 90700 |
|
19 |
13 |
$0.00 |
| 90707 |
|
21 |
15 |
$0.00 |