| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,419 |
10,926 |
$668K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,129 |
3,062 |
$272K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,549 |
2,513 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,217 |
2,041 |
$161K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,850 |
5,437 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,647 |
1,609 |
$134K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
346 |
30 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
792 |
774 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,754 |
1,674 |
$58K |
| 90461 |
|
1,731 |
1,489 |
$20K |
| 99173 |
|
4,268 |
4,036 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
792 |
670 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$4K |
| 96127 |
|
545 |
540 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
77 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
62 |
$867.13 |
| 90474 |
|
37 |
37 |
$533.25 |
| 81002 |
|
128 |
113 |
$376.22 |
| 95117 |
|
26 |
12 |
$212.76 |
| 94760 |
|
2,586 |
1,992 |
$208.50 |
| 96160 |
|
45 |
42 |
$43.65 |
| 90686 |
|
717 |
703 |
$28.58 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
53 |
44 |
$13.47 |
| 90658 |
|
858 |
694 |
$10.54 |
| 90651 |
|
140 |
136 |
$0.00 |
| 90680 |
|
119 |
89 |
$0.00 |
| 90620 |
|
250 |
229 |
$0.00 |
| 90657 |
|
69 |
47 |
$0.00 |
| 90734 |
|
297 |
274 |
$0.00 |
| 90685 |
|
22 |
17 |
$0.00 |
| 90670 |
|
302 |
252 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90649 |
|
146 |
128 |
$0.00 |
| 90633 |
|
15 |
13 |
$0.00 |
| 90707 |
|
16 |
12 |
$0.00 |