| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,526 |
28,322 |
$2.02M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,705 |
6,664 |
$694K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,095 |
6,070 |
$634K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,431 |
5,405 |
$565K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,334 |
5,035 |
$548K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,631 |
15,502 |
$467K |
| 90461 |
|
15,014 |
8,836 |
$437K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,930 |
3,829 |
$394K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,620 |
5,453 |
$269K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,304 |
8,949 |
$147K |
| 87428 |
|
1,623 |
1,605 |
$116K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,937 |
2,929 |
$91K |
| 92015 |
Determination of refractive state |
7,798 |
7,786 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
350 |
348 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,922 |
1,891 |
$32K |
| S9999 |
Sales tax |
4,028 |
3,540 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,614 |
885 |
$26K |
| 83655 |
|
1,568 |
1,556 |
$20K |
| 99080 |
|
3,940 |
3,920 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
273 |
268 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
836 |
829 |
$14K |
| 99381 |
|
65 |
63 |
$10K |
| 99401 |
|
271 |
269 |
$7K |
| 85018 |
|
1,778 |
1,759 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$2K |
| 81002 |
|
451 |
439 |
$1K |
| 96380 |
|
26 |
26 |
$568.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$436.03 |
| 90710 |
|
792 |
784 |
$183.14 |
| 90715 |
|
1,297 |
1,288 |
$123.12 |
| 90723 |
|
1,460 |
1,447 |
$107.93 |
| 90686 |
|
2,355 |
2,344 |
$44.77 |
| 90633 |
|
1,817 |
1,804 |
$32.69 |
| 90697 |
|
268 |
264 |
$30.55 |
| 90647 |
|
3,448 |
3,419 |
$22.91 |
| 90670 |
|
2,854 |
2,843 |
$20.77 |
| 90700 |
|
1,366 |
1,353 |
$17.19 |
| 90651 |
|
3,332 |
3,320 |
$7.88 |
| 90680 |
|
2,272 |
2,255 |
$3.59 |
| 90734 |
|
1,931 |
1,913 |
$3.06 |
| 90620 |
|
1,549 |
1,529 |
$2.73 |
| 90716 |
|
296 |
294 |
$1.02 |
| 90696 |
|
546 |
544 |
$0.99 |
| 90707 |
|
174 |
174 |
$0.71 |
| 90713 |
|
290 |
282 |
$0.35 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90677 |
|
530 |
524 |
$0.00 |
| 90656 |
|
109 |
109 |
$0.00 |
| 90660 |
|
35 |
35 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 90671 |
|
332 |
317 |
$0.00 |
| 90672 |
|
228 |
227 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |