| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,902 |
9,486 |
$629K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,999 |
3,809 |
$438K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,955 |
3,638 |
$391K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,161 |
3,028 |
$329K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,683 |
1,593 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,238 |
1,166 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,229 |
2,891 |
$58K |
| 92551 |
|
5,375 |
5,040 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
638 |
592 |
$23K |
| 99381 |
|
198 |
189 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,555 |
1,451 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,909 |
1,581 |
$16K |
| 97802 |
|
442 |
434 |
$13K |
| 99173 |
|
5,387 |
4,954 |
$12K |
| 90461 |
|
1,206 |
1,120 |
$12K |
| 99383 |
|
102 |
95 |
$10K |
| 90686 |
|
1,166 |
1,081 |
$8K |
| 99382 |
|
67 |
61 |
$7K |
| 96127 |
|
1,554 |
1,452 |
$7K |
| 90633 |
|
1,402 |
1,375 |
$7K |
| 90698 |
|
1,576 |
1,498 |
$7K |
| 90670 |
|
1,546 |
1,490 |
$6K |
| 96161 |
|
2,486 |
1,910 |
$5K |
| 90744 |
|
1,095 |
1,059 |
$5K |
| 90680 |
|
1,126 |
1,084 |
$5K |
| 90716 |
|
1,012 |
981 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
181 |
167 |
$4K |
| 90707 |
|
874 |
850 |
$3K |
| 99384 |
|
26 |
26 |
$3K |
| 90651 |
|
611 |
593 |
$3K |
| 99188 |
|
89 |
78 |
$2K |
| 90677 |
|
293 |
291 |
$2K |
| 90734 |
|
178 |
160 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
261 |
127 |
$917.84 |
| 90715 |
|
192 |
192 |
$667.04 |
| 99442 |
|
13 |
12 |
$595.76 |
| 90619 |
|
271 |
271 |
$482.12 |
| 90696 |
|
114 |
114 |
$454.34 |
| 90656 |
|
46 |
46 |
$425.40 |
| 96160 |
|
835 |
777 |
$368.04 |
| 90700 |
|
190 |
190 |
$349.42 |
| 90620 |
|
35 |
35 |
$270.90 |
| 83655 |
|
3,253 |
3,045 |
$104.69 |
| 90713 |
|
12 |
12 |
$56.72 |
| 80061 |
Lipid panel |
1,930 |
1,776 |
$36.50 |
| 81002 |
|
30 |
27 |
$22.32 |
| 90648 |
|
100 |
100 |
$14.18 |
| 85018 |
|
496 |
465 |
$6.00 |
| 85013 |
|
135 |
132 |
$0.00 |
| 99070 |
|
387 |
360 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |