| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,418 |
3,809 |
$243K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
630 |
626 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
574 |
572 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
399 |
399 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
471 |
464 |
$31K |
| 92552 |
|
1,336 |
1,327 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
630 |
603 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
202 |
$16K |
| 92081 |
|
777 |
774 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,445 |
1,350 |
$14K |
| 96127 |
|
2,180 |
2,160 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
702 |
648 |
$12K |
| 87430 |
|
894 |
868 |
$12K |
| 99381 |
|
113 |
112 |
$10K |
| 96111 |
|
118 |
117 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,027 |
960 |
$7K |
| 92015 |
Determination of refractive state |
468 |
468 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
258 |
245 |
$4K |
| 36416 |
|
1,505 |
1,493 |
$3K |
| 85018 |
|
1,110 |
1,104 |
$3K |
| 83655 |
|
188 |
187 |
$2K |
| 97803 |
|
1,297 |
1,294 |
$2K |
| 96161 |
|
467 |
452 |
$1K |
| 85014 |
|
363 |
361 |
$968.51 |
| 83718 |
|
96 |
96 |
$240.69 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
96 |
$196.76 |
| 82962 |
|
53 |
53 |
$142.65 |
| 83014 |
|
25 |
25 |
$52.86 |
| 90670 |
|
380 |
378 |
$0.00 |
| 90713 |
|
193 |
192 |
$0.00 |
| 90734 |
|
100 |
100 |
$0.00 |
| 90707 |
|
151 |
148 |
$0.00 |
| 90633 |
|
143 |
143 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90700 |
|
252 |
250 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 3008F |
|
799 |
797 |
$0.00 |
| 90651 |
|
159 |
159 |
$0.00 |
| 90716 |
|
151 |
148 |
$0.00 |
| 90744 |
|
102 |
102 |
$0.00 |
| 2000F |
|
711 |
709 |
$0.00 |
| 90647 |
|
247 |
246 |
$0.00 |
| 90680 |
|
263 |
262 |
$0.00 |
| 90723 |
|
45 |
45 |
$0.00 |
| 90698 |
|
37 |
37 |
$0.00 |