| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,616 |
16,774 |
$1.35M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,850 |
7,472 |
$326K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,494 |
2,358 |
$277K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,438 |
2,308 |
$246K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,727 |
1,690 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,056 |
977 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,023 |
988 |
$102K |
| 99173 |
|
6,455 |
6,130 |
$46K |
| 96127 |
|
2,788 |
2,494 |
$43K |
| 36416 |
|
7,864 |
7,494 |
$26K |
| 92551 |
|
3,860 |
3,680 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
261 |
252 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
478 |
424 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
37 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
281 |
132 |
$3K |
| 94760 |
|
1,817 |
1,631 |
$3K |
| 99442 |
|
54 |
53 |
$2K |
| 90480 |
|
57 |
49 |
$1K |
| 92587 |
|
29 |
27 |
$940.00 |
| 99188 |
|
47 |
46 |
$920.00 |
| 90473 |
|
26 |
26 |
$610.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
24 |
$432.00 |
| 90677 |
|
98 |
96 |
$0.33 |
| 90686 |
|
3,314 |
3,177 |
$0.03 |
| 90734 |
|
545 |
518 |
$0.00 |
| 90670 |
|
669 |
655 |
$0.00 |
| 90672 |
|
425 |
415 |
$0.00 |
| 90707 |
|
91 |
89 |
$0.00 |
| 90633 |
|
197 |
188 |
$0.00 |
| 90685 |
|
44 |
44 |
$0.00 |
| 90648 |
|
113 |
109 |
$0.00 |
| 90715 |
|
88 |
86 |
$0.00 |
| 85018 |
|
7,148 |
6,833 |
$0.00 |
| 90651 |
|
953 |
901 |
$0.00 |
| 90723 |
|
256 |
250 |
$0.00 |
| 90620 |
|
346 |
327 |
$0.00 |
| 90716 |
|
69 |
69 |
$0.00 |
| 99000 |
|
33 |
30 |
$0.00 |
| 90647 |
|
131 |
131 |
$0.00 |