| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,018 |
5,705 |
$398K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,942 |
2,678 |
$249K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,216 |
5,429 |
$183K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,165 |
1,978 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,047 |
1,615 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,842 |
1,735 |
$154K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,162 |
1,096 |
$108K |
| 92551 |
|
10,685 |
9,556 |
$76K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,015 |
1,819 |
$62K |
| 99401 |
|
2,245 |
2,077 |
$51K |
| 90461 |
|
4,032 |
3,550 |
$20K |
| 99173 |
|
10,688 |
9,552 |
$18K |
| 99381 |
|
160 |
137 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
121 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,172 |
1,065 |
$8K |
| 83655 |
|
673 |
588 |
$7K |
| 99050 |
|
834 |
555 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
264 |
237 |
$3K |
| 99384 |
|
17 |
17 |
$2K |
| 99051 |
|
159 |
125 |
$2K |
| 0071A |
|
68 |
57 |
$2K |
| 99383 |
|
23 |
17 |
$1K |
| 86710 |
|
144 |
105 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 0072A |
|
39 |
33 |
$1K |
| 86403 |
|
125 |
102 |
$976.31 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
63 |
53 |
$945.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
26 |
$356.04 |
| 87807 |
|
30 |
26 |
$290.99 |
| 90670 |
|
1,950 |
1,836 |
$230.14 |
| 85018 |
|
175 |
147 |
$207.05 |
| 96160 |
|
87 |
82 |
$144.42 |
| 81002 |
|
18 |
13 |
$36.97 |
| 90696 |
|
202 |
178 |
$0.00 |
| 90680 |
|
1,378 |
1,285 |
$0.00 |
| 90744 |
|
909 |
859 |
$0.00 |
| 90698 |
|
1,436 |
1,365 |
$0.00 |
| 90697 |
|
136 |
76 |
$0.00 |
| 90651 |
|
764 |
697 |
$0.00 |
| 90688 |
|
205 |
184 |
$0.00 |
| 90686 |
|
152 |
135 |
$0.00 |
| 91307 |
|
97 |
74 |
$0.00 |
| 90710 |
|
964 |
856 |
$0.00 |
| 90671 |
|
419 |
213 |
$0.00 |
| 90648 |
|
176 |
157 |
$0.00 |
| 90715 |
|
230 |
204 |
$0.00 |
| 90734 |
|
422 |
375 |
$0.00 |
| 90700 |
|
181 |
163 |
$0.00 |
| 90633 |
|
530 |
503 |
$0.00 |
| 90681 |
|
36 |
36 |
$0.00 |