| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,391 |
10,199 |
$468K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,618 |
4,447 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,983 |
1,974 |
$91K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,427 |
4,236 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,229 |
1,224 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,265 |
1,168 |
$54K |
| 90461 |
|
1,749 |
1,722 |
$22K |
| 92551 |
|
1,405 |
1,385 |
$17K |
| 90677 |
|
79 |
75 |
$11K |
| 90670 |
|
421 |
417 |
$10K |
| 94760 |
|
6,120 |
5,106 |
$6K |
| 99401 |
|
485 |
464 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
107 |
$5K |
| 99173 |
|
1,193 |
1,182 |
$3K |
| 90700 |
|
376 |
371 |
$2K |
| 90716 |
|
102 |
101 |
$2K |
| 92558 |
|
395 |
380 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
21 |
$2K |
| 90707 |
|
108 |
108 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
109 |
$1K |
| 90713 |
|
254 |
249 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$899.40 |
| 90633 |
|
100 |
99 |
$835.35 |
| 90686 |
|
279 |
277 |
$770.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
68 |
$712.22 |
| 99442 |
|
71 |
68 |
$647.74 |
| 90688 |
|
215 |
214 |
$576.16 |
| 90648 |
|
270 |
269 |
$492.08 |
| 90681 |
|
12 |
12 |
$127.03 |
| 90698 |
|
13 |
12 |
$92.70 |
| 90744 |
|
81 |
78 |
$54.72 |
| 3008F |
|
2,520 |
2,496 |
$10.00 |
| 99000 |
|
239 |
221 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |