| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,039 |
19,059 |
$850K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
809 |
746 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
501 |
482 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,090 |
1,968 |
$28K |
| 99173 |
|
409 |
389 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
447 |
400 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
276 |
$18K |
| 90461 |
|
1,084 |
1,024 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
672 |
631 |
$17K |
| 99381 |
|
211 |
180 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
144 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
753 |
608 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
297 |
284 |
$9K |
| V5008 |
Hearing screening |
223 |
214 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
72 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
44 |
$3K |
| 99385 |
|
38 |
37 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
649 |
566 |
$2K |
| 96160 |
|
286 |
274 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
117 |
88 |
$1K |
| 92567 |
|
96 |
91 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
106 |
82 |
$951.10 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$699.60 |
| 92551 |
|
37 |
34 |
$321.33 |
| 87420 |
|
15 |
14 |
$201.90 |
| 81002 |
|
103 |
93 |
$96.83 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
308 |
280 |
$45.00 |
| 90686 |
|
110 |
101 |
$44.96 |
| 96150 |
|
422 |
382 |
$28.15 |
| 90473 |
|
13 |
13 |
$28.00 |
| 81000 |
|
14 |
14 |
$8.52 |
| 90647 |
|
289 |
276 |
$0.00 |
| 90723 |
|
363 |
345 |
$0.00 |
| 90680 |
|
72 |
70 |
$0.00 |
| 90633 |
|
1,012 |
968 |
$0.00 |
| 90670 |
|
527 |
506 |
$0.00 |
| 90734 |
|
47 |
40 |
$0.00 |
| 3725F |
|
427 |
383 |
$0.00 |
| 90710 |
|
27 |
26 |
$0.00 |
| 90715 |
|
15 |
14 |
$0.00 |