| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,381 |
30,873 |
$2.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,653 |
12,150 |
$1.19M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,488 |
9,479 |
$357K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,739 |
3,547 |
$317K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,259 |
3,256 |
$303K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,571 |
2,571 |
$237K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,055 |
1,055 |
$107K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,833 |
4,817 |
$78K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
145 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
354 |
343 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
66 |
$9K |
| 81002 |
|
2,509 |
1,829 |
$6K |
| 90686 |
|
513 |
513 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
373 |
369 |
$4K |
| 96127 |
|
573 |
567 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
27 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
105 |
105 |
$2K |
| 92551 |
|
196 |
196 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
229 |
226 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
18 |
18 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
61 |
$863.77 |
| 96160 |
|
248 |
247 |
$647.48 |
| 99188 |
|
41 |
41 |
$613.68 |
| 59025 |
Fetal non-stress test |
17 |
14 |
$599.38 |
| 99442 |
|
25 |
25 |
$541.24 |
| 99173 |
|
211 |
211 |
$413.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
30 |
$409.28 |
| 83655 |
|
24 |
24 |
$357.30 |
| 90480 |
|
14 |
14 |
$249.90 |
| 81025 |
|
29 |
28 |
$191.26 |
| 90461 |
|
26 |
26 |
$114.60 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
51 |
$110.06 |
| 85018 |
|
24 |
24 |
$56.70 |
| 90671 |
|
167 |
167 |
$1.32 |