| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,206 |
5,683 |
$374K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,518 |
2,403 |
$222K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,448 |
2,438 |
$215K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,466 |
2,428 |
$167K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,452 |
5,355 |
$125K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,316 |
1,311 |
$121K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,659 |
1,606 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,858 |
1,487 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
256 |
256 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
902 |
874 |
$11K |
| 96127 |
|
2,056 |
1,540 |
$5K |
| 97803 |
|
2,413 |
2,405 |
$4K |
| 92015 |
Determination of refractive state |
336 |
332 |
$4K |
| D0190 |
|
563 |
559 |
$3K |
| 99177 |
|
1,802 |
1,797 |
$3K |
| 36416 |
|
259 |
257 |
$3K |
| 99381 |
|
24 |
24 |
$2K |
| 99051 |
|
165 |
153 |
$2K |
| 83655 |
|
73 |
73 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
51 |
$1K |
| 99188 |
|
125 |
123 |
$843.35 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
60 |
60 |
$510.47 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
69 |
$488.46 |
| 97802 |
|
99 |
99 |
$300.00 |
| 94664 |
|
15 |
15 |
$145.49 |
| 99490 |
Ccm add 20min |
13 |
12 |
$80.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
29 |
$58.14 |
| 85018 |
|
102 |
101 |
$52.56 |
| 90670 |
|
1,451 |
1,445 |
$0.00 |
| 90648 |
|
1,286 |
1,277 |
$0.00 |
| 90633 |
|
513 |
512 |
$0.00 |
| 90685 |
|
117 |
117 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90461 |
|
344 |
329 |
$0.00 |
| 90710 |
|
41 |
39 |
$0.00 |
| 90681 |
|
88 |
85 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 90687 |
|
59 |
58 |
$0.00 |
| 90680 |
|
806 |
805 |
$0.00 |
| 90723 |
|
999 |
992 |
$0.00 |
| 90686 |
|
1,327 |
1,323 |
$0.00 |
| 90698 |
|
351 |
348 |
$0.00 |
| 90688 |
|
105 |
105 |
$0.00 |
| 90677 |
|
290 |
283 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90696 |
|
29 |
27 |
$0.00 |
| 90656 |
|
135 |
132 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |