| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,021 |
7,267 |
$505K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,281 |
5,068 |
$227K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,995 |
1,903 |
$182K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,708 |
1,626 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,388 |
1,258 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,279 |
1,231 |
$110K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,894 |
4,546 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
452 |
403 |
$42K |
| 99174 |
|
1,936 |
1,835 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
796 |
774 |
$15K |
| 99173 |
|
1,427 |
1,314 |
$10K |
| 99215 |
Prolong outpt/office vis |
68 |
41 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
571 |
521 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,143 |
1,083 |
$6K |
| 0071A |
|
83 |
82 |
$5K |
| 0072A |
|
72 |
72 |
$4K |
| 36416 |
|
1,577 |
1,413 |
$3K |
| 96127 |
|
288 |
254 |
$3K |
| 90670 |
|
819 |
796 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
220 |
118 |
$2K |
| 90480 |
|
88 |
78 |
$2K |
| 99000 |
|
1,642 |
1,461 |
$2K |
| 90686 |
|
1,776 |
1,712 |
$2K |
| 83655 |
|
157 |
143 |
$1K |
| 90677 |
|
88 |
86 |
$1K |
| 90461 |
|
1,096 |
1,037 |
$1K |
| 90698 |
|
747 |
730 |
$1K |
| 90651 |
|
61 |
56 |
$790.37 |
| 85018 |
|
295 |
267 |
$652.07 |
| 90633 |
|
322 |
304 |
$483.48 |
| 90672 |
|
147 |
137 |
$482.62 |
| 90656 |
|
150 |
149 |
$320.79 |
| 90680 |
|
258 |
256 |
$297.96 |
| 90710 |
|
35 |
34 |
$255.00 |
| 90620 |
|
12 |
12 |
$240.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$186.83 |
| 90715 |
|
30 |
30 |
$155.38 |
| 90619 |
|
18 |
18 |
$144.00 |
| 90744 |
|
125 |
123 |
$142.95 |
| 90734 |
|
28 |
25 |
$139.41 |
| 90696 |
|
27 |
27 |
$60.00 |
| 91321 |
|
13 |
13 |
$45.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90685 |
|
191 |
190 |
$0.00 |
| 90648 |
|
25 |
24 |
$0.00 |
| 90681 |
|
15 |
15 |
$0.00 |
| 91307 |
|
169 |
160 |
$0.00 |
| 96161 |
|
13 |
12 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |