| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,056 |
11,121 |
$850K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,732 |
1,725 |
$156K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,427 |
1,410 |
$138K |
| 99188 |
|
5,011 |
4,977 |
$132K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,775 |
5,696 |
$132K |
| 97802 |
|
4,736 |
4,701 |
$131K |
| 92552 |
|
4,485 |
4,453 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,207 |
1,195 |
$109K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,348 |
3,347 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
942 |
882 |
$81K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,681 |
6,530 |
$68K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,645 |
6,517 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
651 |
632 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
900 |
899 |
$58K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
884 |
883 |
$45K |
| 92015 |
Determination of refractive state |
2,458 |
2,451 |
$29K |
| 90461 |
|
1,707 |
1,672 |
$18K |
| 92341 |
|
301 |
299 |
$11K |
| 85018 |
|
4,177 |
4,142 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
113 |
113 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
271 |
264 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
65 |
$7K |
| ATP02 |
|
1,203 |
1,202 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
381 |
374 |
$5K |
| 96127 |
|
273 |
264 |
$2K |
| 82465 |
|
1,788 |
1,768 |
$2K |
| 90480 |
|
35 |
28 |
$1K |
| 87634 |
|
17 |
17 |
$1K |
| 82947 |
|
1,580 |
1,559 |
$1K |
| 80061 |
Lipid panel |
16 |
16 |
$61.05 |
| 96160 |
|
26 |
26 |
$26.39 |
| 91321 |
|
14 |
13 |
$0.03 |
| 90686 |
|
2,351 |
2,324 |
$0.02 |
| 90651 |
|
106 |
105 |
$0.01 |
| 90670 |
|
245 |
245 |
$0.00 |
| 90715 |
|
66 |
66 |
$0.00 |
| 90734 |
|
66 |
66 |
$0.00 |
| 90672 |
|
206 |
206 |
$0.00 |
| 90685 |
|
94 |
94 |
$0.00 |
| 1036F |
|
417 |
416 |
$0.00 |
| 90698 |
|
118 |
118 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
309 |
309 |
$0.00 |