| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,515 |
9,662 |
$649K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,216 |
1,783 |
$195K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,672 |
3,631 |
$155K |
| 90461 |
|
2,275 |
2,247 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
923 |
913 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
290 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
190 |
187 |
$17K |
| 87634 |
|
41 |
40 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
26 |
$2K |
| 87430 |
|
106 |
106 |
$1K |
| 99401 |
|
36 |
35 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
30 |
$923.80 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
27 |
27 |
$757.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$442.49 |
| 90670 |
|
1,075 |
1,059 |
$173.41 |
| 99188 |
|
13 |
13 |
$171.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$81.60 |
| 90698 |
|
763 |
757 |
$11.59 |
| 90672 |
|
93 |
93 |
$0.01 |
| 90686 |
|
808 |
806 |
$0.01 |
| 90656 |
|
12 |
12 |
$0.01 |
| 90685 |
|
153 |
147 |
$0.00 |
| 90633 |
|
276 |
274 |
$0.00 |
| 90671 |
|
138 |
137 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90697 |
|
187 |
185 |
$0.00 |
| 90680 |
|
523 |
519 |
$0.00 |
| 90677 |
|
97 |
97 |
$0.00 |
| 90744 |
|
207 |
206 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |