| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,940 |
8,755 |
$720K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,647 |
3,333 |
$359K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,088 |
1,996 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,259 |
2,142 |
$213K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,211 |
2,044 |
$210K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,682 |
1,449 |
$148K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,098 |
5,796 |
$113K |
| 90461 |
|
2,302 |
2,192 |
$76K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
225 |
212 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,949 |
1,811 |
$24K |
| 94010 |
|
813 |
785 |
$19K |
| 97802 |
|
554 |
538 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
893 |
847 |
$9K |
| 96127 |
|
2,036 |
1,937 |
$6K |
| 90473 |
|
357 |
340 |
$4K |
| 90474 |
|
266 |
249 |
$3K |
| 99188 |
|
153 |
145 |
$2K |
| 99051 |
|
70 |
70 |
$2K |
| 99442 |
|
67 |
66 |
$2K |
| 99443 |
|
14 |
14 |
$592.90 |
| 99441 |
|
35 |
32 |
$475.68 |
| 90686 |
|
43 |
30 |
$0.43 |
| 90672 |
|
34 |
34 |
$0.34 |