| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,575 |
12,005 |
$921K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,514 |
2,479 |
$223K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,708 |
1,697 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,805 |
2,697 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
979 |
940 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,160 |
1,130 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,073 |
5,911 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
652 |
648 |
$67K |
| 92587 |
|
1,821 |
1,754 |
$33K |
| 92552 |
|
1,291 |
1,279 |
$33K |
| 99401 |
|
2,395 |
2,375 |
$30K |
| 90697 |
|
198 |
181 |
$21K |
| 90461 |
|
2,576 |
2,517 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
735 |
732 |
$6K |
| 99173 |
|
2,772 |
2,650 |
$6K |
| 90677 |
|
239 |
230 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
289 |
283 |
$3K |
| 90670 |
|
393 |
381 |
$3K |
| 92551 |
|
158 |
158 |
$2K |
| 90686 |
|
1,004 |
999 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
154 |
152 |
$2K |
| 90756 |
|
68 |
66 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
80 |
$871.09 |
| 90633 |
|
352 |
346 |
$690.02 |
| 90734 |
|
43 |
40 |
$600.00 |
| 85018 |
|
609 |
585 |
$495.64 |
| 83655 |
|
293 |
280 |
$473.68 |
| 86580 |
|
61 |
61 |
$414.10 |
| 90685 |
|
25 |
25 |
$373.20 |
| 36416 |
|
45 |
43 |
$352.89 |
| 90656 |
|
222 |
221 |
$238.83 |
| 90698 |
|
26 |
26 |
$212.36 |
| 90723 |
|
44 |
43 |
$150.00 |
| 90696 |
|
12 |
12 |
$122.26 |
| 90681 |
|
48 |
48 |
$120.00 |
| 90715 |
|
24 |
24 |
$101.92 |
| 90680 |
|
183 |
180 |
$93.19 |
| 90651 |
|
87 |
87 |
$18.71 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90716 |
|
36 |
36 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |