| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,381 |
17,398 |
$238K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,328 |
4,428 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,204 |
6,464 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,651 |
4,004 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,567 |
2,961 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
1,127 |
1,121 |
$20K |
| D9999 |
Unspecified adjunctive procedure, by report |
1,050 |
1,043 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
985 |
780 |
$11K |
| 99499 |
|
1,899 |
1,470 |
$8K |
| 90688 |
|
3,495 |
2,948 |
$8K |
| 99429 |
|
1,864 |
1,435 |
$7K |
| 90670 |
|
2,572 |
2,193 |
$7K |
| 0071A |
|
189 |
139 |
$5K |
| 90723 |
|
1,486 |
1,259 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
595 |
517 |
$4K |
| 0072A |
|
105 |
96 |
$3K |
| 90680 |
|
1,117 |
969 |
$3K |
| 90647 |
|
1,240 |
1,080 |
$3K |
| 90686 |
|
1,052 |
894 |
$3K |
| 97802 |
|
596 |
395 |
$2K |
| 99072 |
|
6,170 |
4,373 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,407 |
1,163 |
$1K |
| 90671 |
|
184 |
156 |
$1K |
| 99188 |
|
630 |
516 |
$958.26 |
| 96127 |
|
2,494 |
1,735 |
$932.53 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
121 |
107 |
$730.56 |
| 96161 |
|
809 |
659 |
$664.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,184 |
1,083 |
$539.24 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$466.41 |
| 90697 |
|
112 |
100 |
$397.38 |
| 90633 |
|
451 |
374 |
$369.78 |
| 90685 |
|
841 |
713 |
$303.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
656 |
603 |
$277.50 |
| 90651 |
|
334 |
267 |
$209.86 |
| 90480 |
|
68 |
68 |
$144.24 |
| 99173 |
|
1,877 |
1,731 |
$115.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
54 |
$82.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
37 |
$66.60 |
| 90656 |
|
258 |
257 |
$65.46 |
| 90715 |
|
84 |
73 |
$56.24 |
| 90734 |
|
75 |
73 |
$42.08 |
| 0134A |
|
14 |
12 |
$40.00 |
| 90619 |
|
18 |
16 |
$39.97 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
79 |
76 |
$35.09 |
| 90710 |
|
55 |
50 |
$31.77 |
| 90707 |
|
12 |
12 |
$20.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
84 |
77 |
$13.29 |
| 90696 |
|
31 |
27 |
$5.96 |
| 97803 |
|
17 |
13 |
$0.00 |
| 90461 |
|
17 |
16 |
$0.00 |
| S8301 |
Infection control supplies, not otherwise specified |
87 |
85 |
$0.00 |
| 90474 |
|
13 |
12 |
$0.00 |
| 90716 |
|
15 |
13 |
$0.00 |