| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,890 |
30,141 |
$2.27M |
| 99199 |
Unlisted special service, procedure or report |
181,123 |
110,222 |
$1.05M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,206 |
5,356 |
$570K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,288 |
4,906 |
$520K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,930 |
2,680 |
$293K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,867 |
7,169 |
$231K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,078 |
10,056 |
$219K |
| 99050 |
|
7,398 |
6,711 |
$190K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,732 |
1,571 |
$163K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,174 |
1,035 |
$127K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,343 |
5,748 |
$87K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,395 |
6,830 |
$77K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,512 |
2,583 |
$76K |
| 87070 |
|
4,329 |
3,902 |
$44K |
| 90474 |
|
2,113 |
1,936 |
$42K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,672 |
1,520 |
$15K |
| 96127 |
|
2,774 |
2,402 |
$12K |
| 99381 |
|
76 |
69 |
$8K |
| 81002 |
|
6,022 |
5,490 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
237 |
210 |
$2K |
| 96161 |
|
630 |
535 |
$2K |
| 92551 |
|
7,121 |
6,504 |
$2K |
| 87420 |
|
135 |
120 |
$2K |
| 90670 |
|
3,878 |
3,496 |
$2K |
| 90686 |
|
597 |
550 |
$729.10 |
| 99173 |
|
6,318 |
5,812 |
$645.34 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$524.36 |
| 90680 |
|
2,105 |
1,932 |
$462.20 |
| 90651 |
|
235 |
212 |
$420.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
29 |
$325.76 |
| 85018 |
|
664 |
592 |
$324.65 |
| 90697 |
|
182 |
153 |
$285.07 |
| 85004 |
|
22 |
17 |
$143.67 |
| 90734 |
|
249 |
221 |
$125.20 |
| 85014 |
|
22 |
17 |
$52.56 |
| 90715 |
|
100 |
91 |
$40.11 |
| 90723 |
|
531 |
494 |
$0.00 |
| 90647 |
|
1,260 |
1,171 |
$0.00 |
| 90698 |
|
61 |
57 |
$0.00 |
| 90677 |
|
377 |
371 |
$0.00 |
| 90696 |
|
53 |
45 |
$0.00 |
| 90716 |
|
39 |
39 |
$0.00 |
| 90710 |
|
571 |
514 |
$0.00 |
| 90633 |
|
787 |
720 |
$0.00 |
| 90621 |
|
62 |
52 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90707 |
|
39 |
39 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |