| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,464 |
11,757 |
$453K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,855 |
6,139 |
$336K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,463 |
1,406 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,318 |
1,286 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,035 |
992 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,964 |
2,953 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,172 |
1,144 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,412 |
4,267 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,779 |
875 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
302 |
297 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
459 |
456 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
138 |
113 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,117 |
1,068 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
107 |
$8K |
| 90461 |
|
1,094 |
763 |
$7K |
| 97802 |
|
1,628 |
1,501 |
$4K |
| 92551 |
|
404 |
401 |
$4K |
| 81002 |
|
880 |
854 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
205 |
171 |
$2K |
| 99384 |
|
12 |
12 |
$999.99 |
| 90619 |
|
279 |
275 |
$987.04 |
| 87276 |
|
12 |
12 |
$148.50 |
| 87275 |
|
14 |
13 |
$113.19 |
| 90688 |
|
650 |
633 |
$74.14 |
| 90672 |
|
131 |
129 |
$25.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
13 |
$1.32 |
| 90734 |
|
73 |
72 |
$0.09 |
| 97803 |
|
1,042 |
958 |
$0.04 |
| 90650 |
|
175 |
167 |
$0.04 |
| 90697 |
|
13 |
13 |
$0.04 |
| 90710 |
|
265 |
258 |
$0.03 |
| 90620 |
|
17 |
17 |
$0.02 |
| 90651 |
|
77 |
76 |
$0.02 |
| 90670 |
|
394 |
384 |
$0.00 |
| 90633 |
|
223 |
220 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |
| 90715 |
|
110 |
109 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90686 |
|
114 |
113 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90696 |
|
53 |
50 |
$0.00 |
| 90656 |
|
55 |
55 |
$0.00 |