| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,302 |
9,518 |
$537K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
888 |
861 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
731 |
713 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
419 |
405 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,066 |
1,982 |
$22K |
| 99000 |
|
1,279 |
1,208 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
243 |
240 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
433 |
426 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
394 |
387 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
17 |
$1K |
| 92081 |
|
2,078 |
1,994 |
$1K |
| 90658 |
|
14 |
13 |
$221.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
945 |
920 |
$155.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
760 |
454 |
$114.58 |
| 90686 |
|
1,607 |
1,559 |
$98.56 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
390 |
383 |
$91.82 |
| 92557 |
|
2,032 |
1,950 |
$30.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,556 |
1,484 |
$26.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,252 |
2,184 |
$0.02 |
| 3078F |
|
96 |
87 |
$0.00 |
| 90734 |
|
69 |
66 |
$0.00 |
| 94664 |
|
69 |
65 |
$0.00 |
| 3725F |
|
20 |
18 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
269 |
253 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,476 |
1,432 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
314 |
294 |
$0.00 |
| 3008F |
|
23 |
19 |
$0.00 |
| 3074F |
|
108 |
98 |
$0.00 |
| 2000F |
|
27 |
21 |
$0.00 |