| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,042 |
8,758 |
$708K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,951 |
6,352 |
$527K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,112 |
2,888 |
$232K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,775 |
2,717 |
$231K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,674 |
2,562 |
$226K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,011 |
4,793 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,916 |
1,764 |
$160K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
687 |
653 |
$51K |
| 90461 |
|
1,316 |
1,257 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
148 |
$22K |
| H0049 |
Alcohol and/or drug screening |
1,004 |
948 |
$21K |
| 99188 |
|
1,634 |
1,588 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
636 |
611 |
$4K |
| 90651 |
|
874 |
802 |
$3K |
| 96127 |
|
299 |
274 |
$938.03 |
| 90696 |
|
24 |
24 |
$902.29 |
| 90734 |
|
364 |
328 |
$800.00 |
| 90715 |
|
116 |
104 |
$780.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
76 |
$696.60 |
| 90670 |
|
691 |
678 |
$649.68 |
| 90633 |
|
213 |
204 |
$483.00 |
| 90686 |
|
47 |
47 |
$310.00 |
| 99051 |
|
27 |
27 |
$302.32 |
| 90698 |
|
505 |
499 |
$248.76 |
| 96160 |
|
100 |
96 |
$189.13 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$145.38 |
| 90688 |
|
161 |
158 |
$119.07 |
| 92551 |
|
1,951 |
1,518 |
$108.55 |
| 90671 |
|
44 |
43 |
$50.00 |
| 99173 |
|
1,972 |
1,529 |
$13.43 |
| 90707 |
|
179 |
175 |
$0.00 |
| 90620 |
|
200 |
183 |
$0.00 |
| 90619 |
|
101 |
96 |
$0.00 |
| 90716 |
|
193 |
188 |
$0.00 |
| 90697 |
|
57 |
54 |
$0.00 |
| 90680 |
|
69 |
69 |
$0.00 |
| 90744 |
|
58 |
55 |
$0.00 |