| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,474 |
9,662 |
$585K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,737 |
1,629 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,429 |
1,381 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,077 |
1,026 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,222 |
2,095 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
837 |
805 |
$68K |
| 92552 |
|
2,271 |
2,151 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
629 |
569 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,631 |
2,507 |
$21K |
| 90686 |
|
1,645 |
1,597 |
$18K |
| 92551 |
|
1,267 |
1,229 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
884 |
427 |
$11K |
| 99173 |
|
4,052 |
3,862 |
$9K |
| 90670 |
|
486 |
454 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
592 |
563 |
$8K |
| 90649 |
|
112 |
101 |
$7K |
| 81002 |
|
2,362 |
2,259 |
$6K |
| 90651 |
|
268 |
265 |
$5K |
| 90734 |
|
319 |
300 |
$5K |
| 97802 |
|
414 |
399 |
$4K |
| 90633 |
|
311 |
291 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,882 |
4,621 |
$2K |
| 90620 |
|
107 |
102 |
$2K |
| 90715 |
|
147 |
139 |
$2K |
| 90710 |
|
130 |
126 |
$2K |
| 99000 |
|
500 |
489 |
$2K |
| 90648 |
|
121 |
117 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,644 |
2,486 |
$1K |
| 90716 |
|
41 |
41 |
$1K |
| 90696 |
|
65 |
62 |
$808.61 |
| 90707 |
|
49 |
45 |
$774.17 |
| 90680 |
|
33 |
31 |
$718.74 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$693.87 |
| 90698 |
|
48 |
44 |
$662.39 |
| 90723 |
|
51 |
51 |
$620.35 |
| 99381 |
|
14 |
12 |
$564.90 |
| 90744 |
|
41 |
38 |
$449.28 |
| 90672 |
|
39 |
39 |
$448.85 |
| 90688 |
|
59 |
53 |
$429.64 |
| 90685 |
|
29 |
28 |
$278.85 |
| 94760 |
|
111 |
104 |
$166.17 |
| 90700 |
|
12 |
12 |
$132.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
98 |
94 |
$75.40 |
| 90474 |
|
59 |
56 |
$0.00 |
| 90461 |
|
27 |
26 |
$0.00 |
| 90473 |
|
24 |
24 |
$0.00 |