| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,396 |
20,540 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,096 |
3,668 |
$228K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,187 |
2,160 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,881 |
1,828 |
$108K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,421 |
8,261 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,548 |
1,533 |
$99K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,350 |
4,250 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,246 |
1,201 |
$66K |
| 90649 |
|
532 |
530 |
$51K |
| 92552 |
|
4,535 |
4,474 |
$50K |
| 90656 |
|
2,817 |
2,786 |
$28K |
| 99441 |
|
892 |
850 |
$17K |
| 99188 |
|
859 |
847 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,321 |
1,269 |
$14K |
| 3008F |
|
1,267 |
1,249 |
$11K |
| 90734 |
|
406 |
383 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
135 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,357 |
1,343 |
$7K |
| 99173 |
|
2,383 |
2,344 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
391 |
384 |
$6K |
| 36416 |
|
449 |
447 |
$4K |
| 90670 |
|
711 |
662 |
$4K |
| 90655 |
|
586 |
580 |
$3K |
| 90461 |
|
101 |
98 |
$2K |
| 90715 |
|
180 |
176 |
$1K |
| 90633 |
|
385 |
359 |
$1K |
| 90700 |
|
333 |
303 |
$1K |
| 90716 |
|
66 |
65 |
$756.87 |
| 90620 |
|
102 |
100 |
$674.52 |
| 90707 |
|
43 |
42 |
$609.94 |
| 90723 |
|
233 |
219 |
$508.26 |
| 85014 |
|
282 |
282 |
$453.66 |
| 86580 |
|
92 |
92 |
$394.99 |
| 85018 |
|
282 |
282 |
$383.85 |
| 36410 |
|
28 |
28 |
$315.60 |
| 83655 |
|
60 |
50 |
$256.86 |
| 90713 |
|
13 |
13 |
$232.44 |
| 90710 |
|
81 |
78 |
$180.00 |
| 90647 |
|
190 |
186 |
$115.48 |
| 81002 |
|
38 |
38 |
$63.84 |
| 90648 |
|
128 |
107 |
$60.40 |
| 90696 |
|
43 |
40 |
$0.00 |