| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,818 |
7,968 |
$648K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,239 |
5,927 |
$205K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,724 |
1,645 |
$174K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,434 |
1,359 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,542 |
1,466 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,232 |
1,146 |
$117K |
| 99173 |
|
3,495 |
3,301 |
$24K |
| 92551 |
|
3,544 |
3,349 |
$21K |
| 96127 |
|
1,144 |
1,069 |
$18K |
| 99174 |
|
862 |
819 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
563 |
539 |
$10K |
| 90480 |
|
83 |
81 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
201 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
39 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
30 |
$397.01 |
| 90677 |
|
75 |
72 |
$0.10 |
| 90671 |
|
637 |
607 |
$0.01 |
| 90633 |
|
215 |
206 |
$0.00 |
| 90461 |
|
687 |
672 |
$0.00 |
| 90670 |
|
171 |
165 |
$0.00 |
| 90710 |
|
107 |
105 |
$0.00 |
| 90734 |
|
185 |
179 |
$0.00 |
| 90661 |
|
215 |
213 |
$0.00 |
| 91322 |
|
15 |
15 |
$0.00 |
| 91321 |
|
15 |
15 |
$0.00 |
| 90672 |
|
19 |
19 |
$0.00 |
| 90697 |
|
525 |
500 |
$0.00 |
| 90680 |
|
481 |
458 |
$0.00 |
| 90651 |
|
209 |
194 |
$0.00 |
| 90381 |
|
22 |
17 |
$0.00 |
| 90656 |
|
725 |
713 |
$0.00 |
| 90686 |
|
2,610 |
2,535 |
$0.00 |
| 90659 |
|
49 |
45 |
$0.00 |
| 90620 |
|
29 |
27 |
$0.00 |
| 90660 |
|
26 |
26 |
$0.00 |