| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,529 |
14,602 |
$1.04M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,385 |
6,432 |
$764K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,044 |
7,038 |
$715K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30,701 |
15,980 |
$664K |
| 90461 |
|
20,900 |
6,880 |
$474K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,190 |
3,187 |
$318K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,143 |
2,065 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,449 |
1,446 |
$144K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,053 |
2,930 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
402 |
401 |
$8K |
| 99381 |
|
40 |
40 |
$7K |
| 99442 |
|
46 |
42 |
$5K |
| 96160 |
|
853 |
848 |
$4K |
| 0071A |
|
93 |
93 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
155 |
85 |
$2K |
| 87428 |
|
30 |
29 |
$2K |
| 90649 |
|
12 |
12 |
$2K |
| 99173 |
|
157 |
157 |
$1K |
| 0072A |
|
35 |
35 |
$1K |
| 96127 |
|
120 |
120 |
$1K |
| 90670 |
|
2,629 |
2,623 |
$1K |
| 83655 |
|
65 |
64 |
$889.31 |
| 87807 |
|
43 |
42 |
$510.55 |
| 90671 |
|
384 |
377 |
$494.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
12 |
$478.40 |
| 85018 |
|
174 |
174 |
$418.58 |
| 90686 |
|
3,523 |
3,519 |
$298.72 |
| 96380 |
|
13 |
13 |
$255.11 |
| 90698 |
|
1,096 |
1,095 |
$218.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$203.07 |
| 90680 |
|
1,562 |
1,560 |
$185.19 |
| 90656 |
|
354 |
353 |
$147.92 |
| 90734 |
|
170 |
170 |
$138.30 |
| 36416 |
|
13 |
13 |
$35.25 |
| 81003 |
|
14 |
14 |
$25.44 |
| 90633 |
|
1,061 |
1,060 |
$3.01 |
| 90677 |
|
436 |
436 |
$1.84 |
| 90697 |
|
510 |
510 |
$0.99 |
| 90744 |
|
327 |
327 |
$0.94 |
| 90651 |
|
266 |
266 |
$0.47 |
| 90716 |
|
91 |
91 |
$0.23 |
| 90672 |
|
98 |
98 |
$0.22 |
| 90707 |
|
67 |
67 |
$0.15 |
| 90710 |
|
25 |
25 |
$0.07 |
| 90696 |
|
13 |
13 |
$0.04 |
| 90715 |
|
14 |
14 |
$0.03 |
| 90700 |
|
12 |
12 |
$0.01 |
| 90648 |
|
27 |
27 |
$0.00 |
| 3078F |
|
41 |
41 |
$0.00 |
| 90655 |
|
12 |
12 |
$0.00 |
| 3074F |
|
57 |
57 |
$0.00 |