| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,877 |
8,297 |
$94K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,925 |
6,917 |
$68K |
| 92587 |
|
5,912 |
5,910 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,662 |
5,460 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,462 |
2,462 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,929 |
1,928 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,841 |
1,841 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,121 |
1,085 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
4,079 |
4,015 |
$3K |
| 86580 |
|
291 |
288 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
569 |
566 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
373 |
245 |
$2K |
| 0071A |
|
57 |
57 |
$2K |
| 0072A |
|
58 |
58 |
$2K |
| 90461 |
|
1,963 |
1,963 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
170 |
$2K |
| 90661 |
|
211 |
209 |
$2K |
| 90670 |
|
512 |
512 |
$1K |
| 90686 |
|
2,960 |
2,959 |
$924.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
139 |
$896.29 |
| 90620 |
|
316 |
316 |
$563.84 |
| 97802 |
|
1,217 |
1,217 |
$322.04 |
| 90734 |
|
283 |
283 |
$92.98 |
| 90633 |
|
326 |
326 |
$72.00 |
| 90685 |
|
58 |
58 |
$65.43 |
| 90648 |
|
222 |
222 |
$0.00 |
| 90671 |
|
298 |
298 |
$0.00 |
| 90715 |
|
37 |
37 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
132 |
132 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90681 |
|
26 |
26 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 3725F |
|
23 |
23 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$0.00 |
| 90651 |
|
328 |
328 |
$0.00 |
| 90723 |
|
27 |
27 |
$0.00 |
| 90656 |
|
77 |
77 |
$0.00 |
| 3008F |
|
247 |
245 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |