| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,618 |
9,031 |
$350K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,309 |
6,724 |
$213K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,329 |
8,193 |
$201K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,482 |
3,472 |
$165K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,114 |
2,985 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,493 |
2,428 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,760 |
1,757 |
$81K |
| 90461 |
|
3,762 |
3,734 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,039 |
1,032 |
$51K |
| 90756 |
|
1,105 |
1,100 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
983 |
981 |
$23K |
| 90619 |
|
132 |
130 |
$17K |
| 92551 |
|
2,657 |
2,646 |
$13K |
| 90670 |
|
482 |
464 |
$7K |
| 90697 |
|
353 |
353 |
$6K |
| 99381 |
|
109 |
109 |
$5K |
| 90686 |
|
774 |
764 |
$4K |
| 99173 |
|
3,384 |
3,360 |
$3K |
| 36416 |
|
148 |
147 |
$1K |
| 90710 |
|
49 |
49 |
$1K |
| 90698 |
|
65 |
64 |
$1K |
| 90680 |
|
277 |
264 |
$898.64 |
| 90651 |
|
46 |
44 |
$811.56 |
| 90633 |
|
263 |
262 |
$639.90 |
| 90723 |
|
12 |
12 |
$538.65 |
| 90744 |
|
53 |
52 |
$184.48 |
| 90707 |
|
55 |
55 |
$177.18 |
| 90696 |
|
47 |
47 |
$175.08 |
| 83655 |
|
50 |
50 |
$152.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$128.78 |
| 85018 |
|
117 |
117 |
$85.06 |
| 90715 |
|
14 |
14 |
$77.05 |
| 90700 |
|
57 |
57 |
$30.73 |
| 90648 |
|
38 |
38 |
$17.63 |
| 90716 |
|
31 |
30 |
$0.00 |