| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,167 |
2,835 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
645 |
607 |
$59K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,537 |
1,498 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
481 |
473 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
451 |
442 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
272 |
269 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
388 |
375 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,160 |
2,082 |
$15K |
| 99381 |
|
143 |
136 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
1,265 |
1,208 |
$5K |
| 99383 |
|
42 |
41 |
$4K |
| 99382 |
|
26 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
263 |
260 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
67 |
$1K |
| 81003 |
|
209 |
206 |
$243.22 |
| 95117 |
|
24 |
12 |
$216.48 |
| 84030 |
|
29 |
29 |
$110.19 |
| 90756 |
|
29 |
29 |
$0.13 |
| 90651 |
|
156 |
156 |
$0.05 |
| 99401 |
|
243 |
241 |
$0.00 |
| 90685 |
|
75 |
75 |
$0.00 |
| 90633 |
|
215 |
214 |
$0.00 |
| 90734 |
|
107 |
107 |
$0.00 |
| 90461 |
|
540 |
536 |
$0.00 |
| 90681 |
|
73 |
71 |
$0.00 |
| 90670 |
|
378 |
374 |
$0.00 |
| 90715 |
|
37 |
37 |
$0.00 |
| 90698 |
|
114 |
113 |
$0.00 |
| 90723 |
|
161 |
159 |
$0.00 |
| 90657 |
|
47 |
47 |
$0.00 |
| 90686 |
|
253 |
253 |
$0.00 |
| 90696 |
|
29 |
29 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |