| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,535 |
25,473 |
$967K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,042 |
16,963 |
$887K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,977 |
7,865 |
$618K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,267 |
6,958 |
$549K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,877 |
4,827 |
$404K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,042 |
15,500 |
$357K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,661 |
2,592 |
$236K |
| 99429 |
|
6,426 |
6,342 |
$212K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,384 |
2,327 |
$139K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,956 |
8,167 |
$87K |
| 99381 |
|
1,055 |
1,021 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,325 |
5,186 |
$72K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,005 |
2,463 |
$69K |
| 90461 |
|
18,075 |
9,397 |
$63K |
| 99383 |
|
542 |
536 |
$49K |
| 17250 |
|
655 |
596 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
724 |
715 |
$18K |
| 99382 |
|
156 |
156 |
$15K |
| 99384 |
|
74 |
71 |
$7K |
| 96160 |
|
3,334 |
3,234 |
$7K |
| 0071A |
|
150 |
150 |
$6K |
| 0072A |
|
106 |
106 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
39 |
$3K |
| 99215 |
Prolong outpt/office vis |
40 |
40 |
$3K |
| 90619 |
|
462 |
452 |
$458.62 |
| 90677 |
|
1,239 |
1,221 |
$278.06 |
| 90670 |
|
4,267 |
4,191 |
$217.00 |
| 97169 |
|
17 |
12 |
$198.00 |
| 90686 |
|
2,619 |
2,600 |
$21.14 |
| 90651 |
|
864 |
841 |
$0.22 |
| 90734 |
|
253 |
249 |
$0.14 |
| 90710 |
|
2,404 |
2,356 |
$0.13 |
| 90648 |
|
3,903 |
3,835 |
$0.06 |
| 90723 |
|
2,406 |
2,360 |
$0.06 |
| 90680 |
|
3,434 |
3,373 |
$0.06 |
| 90715 |
|
409 |
404 |
$0.05 |
| 90633 |
|
2,450 |
2,420 |
$0.02 |
| 90656 |
|
274 |
273 |
$0.01 |
| 90700 |
|
879 |
863 |
$0.00 |
| 90698 |
|
829 |
819 |
$0.00 |
| 90696 |
|
799 |
785 |
$0.00 |