| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,989 |
16,899 |
$1.44M |
| 99199 |
Unlisted special service, procedure or report |
64,726 |
47,784 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,467 |
2,514 |
$274K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,157 |
895 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
878 |
688 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
971 |
688 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
879 |
636 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,872 |
2,815 |
$55K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,611 |
1,885 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
581 |
360 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,031 |
1,513 |
$12K |
| 96127 |
|
2,527 |
1,873 |
$8K |
| 92551 |
|
2,922 |
2,124 |
$2K |
| 86328 |
|
34 |
23 |
$1K |
| 96160 |
|
332 |
306 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
42 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
116 |
36 |
$536.94 |
| 99173 |
|
3,523 |
2,605 |
$517.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
27 |
$339.12 |
| 90688 |
|
139 |
83 |
$0.00 |
| 00000 |
|
237 |
120 |
$0.00 |
| 90647 |
|
78 |
74 |
$0.00 |
| 90680 |
|
36 |
24 |
$0.00 |
| 90723 |
|
31 |
28 |
$0.00 |
| 90697 |
|
21 |
14 |
$0.00 |
| 90657 |
|
15 |
14 |
$0.00 |
| 90671 |
|
153 |
101 |
$0.00 |
| 90734 |
|
189 |
143 |
$0.00 |
| 90649 |
|
136 |
107 |
$0.00 |
| 90670 |
|
499 |
367 |
$0.00 |
| 90633 |
|
172 |
105 |
$0.00 |
| 90658 |
|
372 |
336 |
$0.00 |
| 90715 |
|
53 |
38 |
$0.00 |