| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,546 |
4,001 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,441 |
1,413 |
$95K |
| 92587 |
|
2,288 |
2,203 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,273 |
1,213 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,668 |
1,532 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,238 |
2,036 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
836 |
818 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
938 |
842 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,594 |
1,451 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
547 |
503 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
803 |
744 |
$12K |
| 92567 |
|
829 |
774 |
$12K |
| 90723 |
|
413 |
390 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
308 |
190 |
$5K |
| 99173 |
|
777 |
741 |
$4K |
| 90707 |
|
362 |
343 |
$4K |
| 90686 |
|
1,345 |
1,307 |
$4K |
| 99460 |
|
77 |
72 |
$3K |
| 90670 |
|
815 |
766 |
$2K |
| 90649 |
|
461 |
443 |
$2K |
| 90734 |
|
385 |
373 |
$2K |
| 90647 |
|
454 |
435 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
49 |
43 |
$2K |
| 90715 |
|
145 |
138 |
$1K |
| 90716 |
|
376 |
356 |
$1K |
| 90633 |
|
347 |
336 |
$1K |
| 90696 |
|
82 |
76 |
$852.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
58 |
$425.72 |
| 90621 |
|
48 |
47 |
$342.27 |
| 94010 |
|
13 |
12 |
$278.91 |
| 94760 |
|
421 |
331 |
$123.44 |
| 99072 |
|
640 |
588 |
$112.50 |
| 90681 |
|
26 |
26 |
$53.50 |
| 99051 |
|
54 |
51 |
$41.87 |
| 99174 |
|
530 |
485 |
$38.00 |
| 99058 |
|
21 |
16 |
$34.29 |
| 99050 |
|
38 |
33 |
$20.80 |
| 99000 |
|
42 |
39 |
$0.00 |