| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,208 |
2,855 |
$134K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,364 |
2,015 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,283 |
1,151 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
901 |
769 |
$60K |
| 99381 |
|
216 |
197 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
462 |
405 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
407 |
334 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
152 |
125 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153 |
125 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
563 |
523 |
$7K |
| 96127 |
|
1,179 |
925 |
$4K |
| 3008F |
|
1,002 |
831 |
$3K |
| 96161 |
|
419 |
383 |
$3K |
| 90670 |
|
1,030 |
935 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
409 |
348 |
$2K |
| 92551 |
|
349 |
257 |
$2K |
| 99173 |
|
487 |
382 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
16 |
$2K |
| 83655 |
|
152 |
134 |
$2K |
| 96160 |
|
206 |
171 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
136 |
125 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
47 |
$1K |
| 90461 |
|
1,461 |
1,283 |
$891.97 |
| 90681 |
|
479 |
435 |
$805.15 |
| 90686 |
|
1,433 |
1,241 |
$803.19 |
| 36416 |
|
507 |
426 |
$514.30 |
| 90723 |
|
437 |
391 |
$418.68 |
| 90716 |
|
110 |
86 |
$344.34 |
| 94760 |
|
98 |
93 |
$236.78 |
| 90633 |
|
336 |
295 |
$215.85 |
| 90707 |
|
139 |
109 |
$190.00 |
| 90648 |
|
759 |
686 |
$152.88 |
| 90698 |
|
69 |
66 |
$127.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
270 |
244 |
$20.39 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90685 |
|
73 |
70 |
$0.00 |
| 99000 |
|
589 |
523 |
$0.00 |
| 90651 |
|
27 |
26 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |