| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,118 |
22,393 |
$1.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,492 |
9,126 |
$860K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,654 |
8,470 |
$612K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,337 |
7,325 |
$609K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,153 |
4,151 |
$341K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,632 |
7,616 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,102 |
2,100 |
$182K |
| D0190 |
|
6,449 |
6,434 |
$92K |
| 99460 |
|
871 |
863 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,391 |
5,335 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,970 |
2,948 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,711 |
2,620 |
$36K |
| 83655 |
|
2,639 |
2,623 |
$34K |
| 99462 |
|
1,132 |
847 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,830 |
2,824 |
$26K |
| 96127 |
|
6,509 |
6,374 |
$19K |
| 85018 |
|
2,959 |
2,940 |
$6K |
| 99215 |
Prolong outpt/office vis |
37 |
37 |
$5K |
| 54150 |
|
79 |
78 |
$4K |
| 99188 |
|
559 |
555 |
$4K |
| 90474 |
|
1,240 |
1,230 |
$4K |
| 0071A |
|
88 |
88 |
$3K |
| 81002 |
|
1,191 |
1,120 |
$3K |
| 0072A |
|
79 |
79 |
$3K |
| 90651 |
|
687 |
687 |
$2K |
| 96380 |
|
88 |
88 |
$2K |
| 90480 |
|
37 |
37 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90686 |
|
3,250 |
3,247 |
$913.50 |
| 99051 |
|
230 |
228 |
$864.98 |
| 0002A |
|
22 |
22 |
$819.15 |
| 90620 |
|
145 |
141 |
$714.02 |
| 0154A |
|
17 |
17 |
$663.31 |
| 0001A |
|
22 |
22 |
$660.00 |
| 80061 |
Lipid panel |
38 |
38 |
$434.25 |
| 90461 |
|
235 |
233 |
$312.00 |
| 90734 |
|
372 |
371 |
$261.66 |
| 90715 |
|
224 |
224 |
$182.36 |
| 90619 |
|
186 |
186 |
$156.84 |
| 90656 |
|
299 |
299 |
$113.40 |
| G9002 |
Coordinated care fee, maintenance rate |
348 |
330 |
$40.82 |
| 98966 |
|
186 |
179 |
$0.11 |
| 98967 |
|
15 |
13 |
$0.01 |
| 90700 |
|
1,062 |
1,061 |
$0.00 |
| 90670 |
|
4,112 |
4,095 |
$0.00 |
| 90633 |
|
2,369 |
2,367 |
$0.00 |
| 90710 |
|
554 |
554 |
$0.00 |
| 90707 |
|
1,183 |
1,181 |
$0.00 |
| 90685 |
|
813 |
811 |
$0.00 |
| 90648 |
|
539 |
539 |
$0.00 |
| 90380 |
|
13 |
13 |
$0.00 |
| 90671 |
|
774 |
774 |
$0.00 |
| 91308 |
|
88 |
80 |
$0.00 |
| 91321 |
|
25 |
25 |
$0.00 |
| 91300 |
|
42 |
42 |
$0.00 |
| 99173 |
|
18 |
18 |
$0.00 |
| 90716 |
|
1,156 |
1,154 |
$0.00 |
| 90697 |
|
957 |
956 |
$0.00 |
| 90680 |
|
3,373 |
3,361 |
$0.00 |
| 90744 |
|
1,518 |
1,507 |
$0.00 |
| 90696 |
|
506 |
506 |
$0.00 |
| 90698 |
|
2,663 |
2,650 |
$0.00 |
| 90381 |
|
65 |
65 |
$0.00 |
| 91307 |
|
201 |
182 |
$0.00 |
| 91315 |
|
17 |
17 |
$0.00 |