| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,195 |
7,828 |
$608K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,063 |
1,999 |
$202K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,512 |
2,502 |
$199K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,102 |
2,100 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,147 |
2,139 |
$153K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
853 |
852 |
$76K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,813 |
2,800 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,563 |
4,525 |
$46K |
| 97802 |
|
2,835 |
2,827 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,988 |
3,941 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,786 |
1,672 |
$24K |
| 96127 |
|
1,700 |
1,169 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
306 |
162 |
$4K |
| 83655 |
|
288 |
286 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
66 |
$618.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
25 |
$161.50 |
| 98966 |
|
25 |
25 |
$108.03 |
| 92551 |
|
12 |
12 |
$81.22 |
| 90707 |
|
363 |
359 |
$0.00 |
| 90670 |
|
1,298 |
1,297 |
$0.00 |
| 90633 |
|
339 |
338 |
$0.00 |
| 90685 |
|
53 |
53 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 90716 |
|
338 |
334 |
$0.00 |
| 90680 |
|
672 |
671 |
$0.00 |
| 90698 |
|
1,381 |
1,379 |
$0.00 |
| 90744 |
|
353 |
353 |
$0.00 |
| 90656 |
|
61 |
61 |
$0.00 |
| 90677 |
|
90 |
90 |
$0.00 |
| 90686 |
|
922 |
919 |
$0.00 |
| 36416 |
|
30 |
30 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |