| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,043 |
6,490 |
$445K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,288 |
1,270 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,175 |
1,120 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,018 |
1,001 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
854 |
844 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,287 |
1,239 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
473 |
464 |
$42K |
| 90686 |
|
1,365 |
1,323 |
$17K |
| 90670 |
|
521 |
518 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
230 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
268 |
251 |
$3K |
| 99173 |
|
2,103 |
2,080 |
$3K |
| 96127 |
|
638 |
626 |
$2K |
| 90651 |
|
200 |
195 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
99 |
99 |
$2K |
| 90648 |
|
181 |
180 |
$2K |
| 90710 |
|
106 |
105 |
$1K |
| 90734 |
|
90 |
89 |
$1K |
| 90685 |
|
74 |
73 |
$962.02 |
| 90677 |
|
72 |
66 |
$612.85 |
| 90633 |
|
63 |
61 |
$601.62 |
| 85018 |
|
253 |
251 |
$545.33 |
| 90697 |
|
15 |
15 |
$255.97 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48 |
48 |
$250.21 |
| 90696 |
|
14 |
14 |
$195.24 |
| 90715 |
|
31 |
31 |
$130.14 |
| 90656 |
|
52 |
52 |
$117.90 |
| 90688 |
|
12 |
12 |
$114.48 |
| 90674 |
|
13 |
13 |
$103.10 |
| 90619 |
|
15 |
15 |
$34.06 |