| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,060 |
2,550 |
$150K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,429 |
1,240 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
438 |
416 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
301 |
284 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
233 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
207 |
205 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
583 |
551 |
$8K |
| 92587 |
|
443 |
439 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
88 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,046 |
1,040 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
105 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
634 |
601 |
$6K |
| 95930 |
|
84 |
84 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
271 |
217 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
319 |
295 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
273 |
263 |
$2K |
| 92567 |
|
181 |
180 |
$2K |
| 92551 |
|
225 |
225 |
$1K |
| 99401 |
|
47 |
47 |
$1K |
| 99188 |
|
133 |
133 |
$1K |
| 99384 |
|
22 |
15 |
$1K |
| 83655 |
|
100 |
100 |
$1K |
| 3008F |
|
415 |
415 |
$966.00 |
| 99383 |
|
15 |
13 |
$935.00 |
| 99173 |
|
997 |
909 |
$932.81 |
| 90461 |
|
71 |
67 |
$738.56 |
| 92558 |
|
170 |
134 |
$629.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
25 |
$252.26 |
| 36415 |
Collection of venous blood by venipuncture |
265 |
200 |
$224.76 |
| 87276 |
|
16 |
16 |
$138.39 |
| 87275 |
|
16 |
16 |
$127.37 |
| 36410 |
|
20 |
12 |
$73.50 |
| 90686 |
|
39 |
35 |
$21.60 |
| 81002 |
|
15 |
12 |
$11.90 |
| 90649 |
|
20 |
20 |
$0.00 |