| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,560 |
3,124 |
$131K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,283 |
1,938 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,146 |
1,014 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,234 |
1,098 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,506 |
1,249 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,144 |
933 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
565 |
502 |
$37K |
| 96161 |
|
604 |
472 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
535 |
421 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
761 |
357 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
591 |
549 |
$8K |
| 99174 |
|
769 |
647 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
773 |
661 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
582 |
493 |
$6K |
| 99173 |
|
559 |
465 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
45 |
$4K |
| 83655 |
|
215 |
172 |
$3K |
| 81003 |
|
1,297 |
1,110 |
$3K |
| 92587 |
|
34 |
26 |
$1K |
| 90473 |
|
111 |
101 |
$963.50 |
| 36416 |
|
307 |
250 |
$872.92 |
| 90474 |
|
60 |
34 |
$574.00 |
| 90688 |
|
312 |
274 |
$553.34 |
| 36415 |
Collection of venous blood by venipuncture |
178 |
169 |
$552.75 |
| 90461 |
|
1,122 |
860 |
$123.86 |
| 88720 |
|
16 |
12 |
$100.35 |
| 90633 |
|
345 |
289 |
$87.34 |
| 96127 |
|
18 |
18 |
$82.71 |
| 92558 |
|
12 |
12 |
$76.98 |
| 90687 |
|
291 |
237 |
$22.00 |
| 3008F |
|
2,446 |
2,152 |
$0.00 |
| 90680 |
|
657 |
525 |
$0.00 |
| 90744 |
|
361 |
296 |
$0.00 |
| 90716 |
|
166 |
153 |
$0.00 |
| 90700 |
|
1,133 |
949 |
$0.00 |
| 90670 |
|
985 |
797 |
$0.00 |
| 90707 |
|
250 |
198 |
$0.00 |
| 90648 |
|
977 |
793 |
$0.00 |
| 90713 |
|
944 |
773 |
$0.00 |