| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,876 |
8,987 |
$635K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,018 |
3,363 |
$337K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,218 |
2,666 |
$253K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,245 |
8,849 |
$144K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,899 |
1,441 |
$139K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,884 |
1,629 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
623 |
505 |
$21K |
| 92551 |
|
4,033 |
3,491 |
$20K |
| 36416 |
|
5,983 |
5,282 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,769 |
1,469 |
$15K |
| 99173 |
|
2,331 |
2,026 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
637 |
591 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
66 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
262 |
244 |
$7K |
| 81000 |
|
1,390 |
1,278 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
272 |
133 |
$3K |
| 94760 |
|
383 |
351 |
$589.92 |
| 85018 |
|
5,935 |
5,164 |
$204.47 |
| 81002 |
|
1,843 |
1,475 |
$53.96 |
| 88738 |
|
723 |
527 |
$36.88 |
| 90686 |
|
104 |
86 |
$19.03 |
| 99000 |
|
1,065 |
834 |
$0.00 |
| 90744 |
|
38 |
28 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90633 |
|
84 |
82 |
$0.00 |
| 90713 |
|
23 |
12 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |