| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,318 |
31,212 |
$3.02M |
| 94060 |
|
11,410 |
11,407 |
$461K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,809 |
4,407 |
$408K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,278 |
4,215 |
$338K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,061 |
2,317 |
$267K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,478 |
2,453 |
$222K |
| 92567 |
|
14,547 |
14,538 |
$173K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,939 |
10,464 |
$144K |
| 92587 |
|
4,423 |
4,422 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
565 |
563 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,648 |
14,377 |
$53K |
| 92568 |
|
3,949 |
3,946 |
$46K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,533 |
1,528 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
275 |
273 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
403 |
390 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$5K |
| 86403 |
|
523 |
508 |
$4K |
| 90688 |
|
2,025 |
2,024 |
$2K |
| 92015 |
Determination of refractive state |
83 |
83 |
$1K |
| 87430 |
|
145 |
141 |
$1K |
| 90686 |
|
2,042 |
2,038 |
$634.62 |
| 0002A |
|
15 |
15 |
$531.19 |
| 90651 |
|
488 |
487 |
$506.08 |
| 0001A |
|
12 |
12 |
$438.29 |
| 90707 |
|
649 |
648 |
$281.88 |
| 90670 |
|
1,500 |
1,494 |
$205.12 |
| 90716 |
|
735 |
734 |
$162.72 |
| 99050 |
|
26 |
25 |
$136.50 |
| 90633 |
|
800 |
799 |
$77.23 |
| 90656 |
|
212 |
212 |
$69.41 |
| 90744 |
|
696 |
694 |
$56.62 |
| 90715 |
|
62 |
62 |
$29.36 |
| 90685 |
|
703 |
701 |
$22.24 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$4.05 |
| 90713 |
|
1,680 |
1,675 |
$0.00 |
| 90734 |
|
248 |
246 |
$0.00 |
| 90648 |
|
1,523 |
1,522 |
$0.00 |
| 90700 |
|
2,075 |
2,075 |
$0.00 |
| 91300 |
|
29 |
29 |
$0.00 |
| 90680 |
|
873 |
873 |
$0.00 |
| 90619 |
|
58 |
58 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |