| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,367 |
4,758 |
$260K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
915 |
877 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
863 |
821 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,506 |
1,172 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,646 |
1,564 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,022 |
969 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,454 |
1,342 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
502 |
484 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
213 |
200 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
322 |
294 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
501 |
466 |
$5K |
| 99177 |
|
528 |
503 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
57 |
$4K |
| 96161 |
|
402 |
388 |
$4K |
| 94760 |
|
795 |
683 |
$3K |
| 90474 |
|
332 |
315 |
$3K |
| 87081 |
|
484 |
441 |
$3K |
| 83655 |
|
156 |
148 |
$2K |
| 99381 |
|
27 |
25 |
$2K |
| 92551 |
|
173 |
162 |
$1K |
| 36416 |
|
709 |
662 |
$1K |
| 96127 |
|
183 |
168 |
$851.86 |
| 88720 |
|
130 |
94 |
$687.02 |
| 99173 |
|
14 |
12 |
$97.95 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90685 |
|
90 |
87 |
$0.00 |
| 90670 |
|
661 |
624 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90633 |
|
177 |
168 |
$0.00 |
| 99051 |
|
138 |
134 |
$0.00 |
| 90687 |
|
26 |
26 |
$0.00 |
| 90680 |
|
356 |
329 |
$0.00 |
| 99000 |
|
637 |
598 |
$0.00 |
| 90698 |
|
373 |
345 |
$0.00 |
| 90686 |
|
160 |
159 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 90744 |
|
174 |
158 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |