| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,392 |
27,172 |
$2.13M |
| 99442 |
|
6,822 |
5,052 |
$252K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,919 |
2,901 |
$240K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,204 |
9,625 |
$211K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,236 |
2,234 |
$198K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,395 |
2,293 |
$193K |
| 99401 |
|
8,924 |
8,734 |
$152K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,357 |
1,254 |
$105K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
954 |
949 |
$83K |
| 92553 |
|
2,436 |
2,434 |
$65K |
| 90461 |
|
1,698 |
1,627 |
$39K |
| 92081 |
|
1,937 |
1,936 |
$24K |
| 90686 |
|
3,849 |
3,844 |
$15K |
| 90473 |
|
1,218 |
1,218 |
$9K |
| 90620 |
|
273 |
273 |
$8K |
| 90670 |
|
698 |
698 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
602 |
592 |
$7K |
| 99408 |
|
1,667 |
1,665 |
$7K |
| H0049 |
Alcohol and/or drug screening |
1,332 |
1,331 |
$6K |
| 90672 |
|
1,249 |
1,249 |
$4K |
| 86580 |
|
799 |
791 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
35 |
$3K |
| 90734 |
|
252 |
252 |
$3K |
| 90677 |
|
29 |
29 |
$3K |
| 90716 |
|
197 |
197 |
$2K |
| 97802 |
|
6,859 |
6,672 |
$2K |
| 90707 |
|
211 |
211 |
$2K |
| 90715 |
|
117 |
117 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$1K |
| 90658 |
|
70 |
70 |
$1K |
| 90633 |
|
248 |
248 |
$935.27 |
| 92551 |
|
117 |
117 |
$891.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
106 |
$873.87 |
| 90744 |
|
97 |
97 |
$623.44 |
| 90651 |
|
219 |
219 |
$555.00 |
| 90685 |
|
445 |
445 |
$243.62 |
| 96127 |
|
99 |
99 |
$210.84 |
| 99173 |
|
587 |
587 |
$166.21 |
| 99406 |
|
85 |
85 |
$118.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
28 |
$26.10 |
| 90680 |
|
230 |
230 |
$0.00 |
| 1000F |
|
1,704 |
1,698 |
$0.00 |
| 1220F |
|
1,714 |
1,708 |
$0.00 |
| 4293F |
|
1,769 |
1,763 |
$0.00 |
| 90698 |
|
353 |
353 |
$0.00 |