| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,999 |
7,329 |
$275K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,778 |
2,738 |
$212K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,025 |
2,010 |
$165K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,875 |
1,838 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,601 |
2,483 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,374 |
6,109 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,359 |
1,290 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,905 |
1,844 |
$43K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
940 |
906 |
$30K |
| 90461 |
|
4,351 |
2,938 |
$25K |
| 92551 |
|
3,556 |
3,513 |
$20K |
| 99381 |
|
305 |
288 |
$14K |
| 99000 |
|
1,283 |
1,245 |
$12K |
| 99383 |
|
127 |
124 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,088 |
534 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
83 |
$7K |
| 99384 |
|
56 |
56 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
302 |
290 |
$4K |
| 96160 |
|
2,125 |
2,110 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
509 |
494 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
174 |
87 |
$2K |
| 81002 |
|
516 |
504 |
$1K |
| 99382 |
|
12 |
12 |
$695.96 |
| 90619 |
|
86 |
86 |
$577.95 |
| 99201 |
|
19 |
18 |
$282.63 |
| 99050 |
|
13 |
13 |
$194.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$109.76 |
| 94760 |
|
15 |
13 |
$29.14 |
| 90697 |
|
23 |
23 |
$0.15 |
| 90707 |
|
365 |
357 |
$0.03 |
| 90633 |
|
757 |
733 |
$0.03 |
| 90715 |
|
516 |
510 |
$0.03 |
| 90734 |
|
732 |
726 |
$0.03 |
| 90620 |
|
383 |
369 |
$0.03 |
| 90651 |
|
709 |
704 |
$0.03 |
| 90670 |
|
1,413 |
1,392 |
$0.02 |
| 90710 |
|
432 |
421 |
$0.02 |
| 90723 |
|
890 |
875 |
$0.02 |
| 90680 |
|
834 |
819 |
$0.02 |
| 90716 |
|
381 |
372 |
$0.02 |
| 90648 |
|
77 |
76 |
$0.00 |
| 99173 |
|
6,227 |
6,132 |
$0.00 |
| 90672 |
|
162 |
162 |
$0.00 |
| 90700 |
|
381 |
374 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
19 |
18 |
$0.00 |
| 90696 |
|
421 |
411 |
$0.00 |
| 90647 |
|
1,009 |
993 |
$0.00 |
| 90686 |
|
1,853 |
1,844 |
$0.00 |
| 90688 |
|
52 |
52 |
$0.00 |
| 97802 |
|
36 |
34 |
$0.00 |