| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,249 |
14,835 |
$701K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,608 |
7,670 |
$449K |
| 94060 |
|
2,716 |
2,696 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,674 |
1,637 |
$91K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,814 |
2,740 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,652 |
1,544 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,400 |
1,366 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,245 |
1,230 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,668 |
5,494 |
$67K |
| 92552 |
|
3,700 |
3,659 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,378 |
2,343 |
$43K |
| 90677 |
|
158 |
146 |
$33K |
| 99401 |
|
2,663 |
2,557 |
$29K |
| 90619 |
|
146 |
142 |
$20K |
| 92587 |
|
400 |
395 |
$9K |
| 99058 |
|
3,578 |
3,290 |
$9K |
| 99205 |
Prolong outpt/office vis |
76 |
71 |
$6K |
| 90686 |
|
1,155 |
1,133 |
$6K |
| 99173 |
|
2,087 |
2,029 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
162 |
$6K |
| 96127 |
|
2,414 |
2,380 |
$5K |
| 99050 |
|
854 |
819 |
$4K |
| 90670 |
|
402 |
377 |
$4K |
| 86403 |
|
1,525 |
1,450 |
$3K |
| 92567 |
|
347 |
327 |
$3K |
| 90700 |
|
913 |
829 |
$2K |
| 90707 |
|
155 |
149 |
$2K |
| 87081 |
|
450 |
431 |
$2K |
| 90713 |
|
738 |
656 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
84 |
64 |
$2K |
| 90715 |
|
112 |
109 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
74 |
$1K |
| 90716 |
|
111 |
106 |
$1K |
| 36416 |
|
134 |
122 |
$1K |
| 0001A |
|
40 |
40 |
$1K |
| 90651 |
|
40 |
40 |
$1K |
| 0002A |
|
27 |
26 |
$1K |
| 90680 |
|
372 |
328 |
$839.37 |
| 92568 |
|
112 |
109 |
$789.99 |
| 99383 |
|
12 |
12 |
$655.51 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$514.60 |
| 90648 |
|
680 |
601 |
$491.86 |
| 90473 |
|
30 |
30 |
$367.50 |
| 90744 |
|
200 |
186 |
$316.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$300.36 |
| 90633 |
|
57 |
54 |
$223.59 |
| 90685 |
|
138 |
125 |
$143.01 |
| 99441 |
|
15 |
13 |
$79.34 |
| 99072 |
|
1,011 |
869 |
$14.00 |
| 91300 |
|
117 |
99 |
$11.00 |
| 99000 |
|
2,375 |
2,204 |
$0.00 |
| 0011A |
|
14 |
14 |
$0.00 |
| 91301 |
|
25 |
25 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |