| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,726 |
9,172 |
$409K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,155 |
5,753 |
$195K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,374 |
2,297 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,570 |
1,447 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,106 |
1,065 |
$61K |
| 90670 |
|
815 |
767 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
564 |
550 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
391 |
378 |
$25K |
| 90686 |
|
1,968 |
1,895 |
$16K |
| 90651 |
|
153 |
148 |
$13K |
| 92551 |
|
1,339 |
1,290 |
$8K |
| 90674 |
|
325 |
251 |
$8K |
| 90697 |
|
91 |
75 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
629 |
602 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
385 |
377 |
$7K |
| 90677 |
|
83 |
82 |
$7K |
| 99173 |
|
2,729 |
2,601 |
$6K |
| 90480 |
|
143 |
108 |
$5K |
| 90698 |
|
271 |
268 |
$4K |
| 0072A |
|
45 |
45 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
166 |
147 |
$4K |
| 92081 |
|
182 |
180 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
88 |
$3K |
| 0071A |
|
28 |
28 |
$2K |
| 90734 |
|
37 |
33 |
$2K |
| 90661 |
|
155 |
148 |
$2K |
| 96127 |
|
468 |
440 |
$2K |
| 3008F |
|
484 |
464 |
$2K |
| 91320 |
|
22 |
12 |
$2K |
| 90461 |
|
2,813 |
2,107 |
$2K |
| 87081 |
|
256 |
249 |
$2K |
| 99177 |
|
285 |
279 |
$1K |
| 90633 |
|
78 |
77 |
$1K |
| 0001A |
|
12 |
12 |
$1K |
| 99188 |
|
26 |
26 |
$476.21 |
| 90681 |
|
57 |
49 |
$346.00 |
| 90685 |
|
146 |
144 |
$301.75 |
| 36416 |
|
85 |
81 |
$291.03 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$219.75 |
| 90744 |
|
40 |
40 |
$171.45 |
| 91321 |
|
23 |
23 |
$170.14 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
617 |
589 |
$122.25 |
| 1036F |
|
15 |
15 |
$74.25 |
| 96161 |
|
31 |
26 |
$42.18 |
| 90710 |
|
12 |
12 |
$10.00 |
| 90619 |
|
12 |
12 |
$0.00 |