| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,404 |
9,694 |
$702K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,125 |
4,804 |
$132K |
| 99442 |
|
4,086 |
3,623 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,367 |
1,366 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
981 |
981 |
$73K |
| 90461 |
|
1,653 |
1,620 |
$63K |
| 99401 |
|
2,493 |
2,491 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
514 |
514 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
516 |
507 |
$34K |
| 97802 |
|
2,250 |
2,248 |
$22K |
| 92551 |
|
2,384 |
2,383 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
313 |
313 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
545 |
544 |
$6K |
| 36410 |
|
464 |
460 |
$2K |
| 83655 |
|
162 |
161 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
67 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
657 |
648 |
$1K |
| 96127 |
|
385 |
384 |
$904.74 |
| 36406 |
|
103 |
103 |
$530.86 |
| 99173 |
|
1,069 |
1,069 |
$506.06 |
| 99441 |
|
95 |
90 |
$475.80 |
| 90658 |
|
961 |
960 |
$258.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$166.71 |
| 90657 |
|
296 |
295 |
$0.30 |
| 90660 |
|
64 |
64 |
$0.23 |
| 90670 |
|
101 |
101 |
$0.00 |
| 90633 |
|
84 |
84 |
$0.00 |
| 90681 |
|
40 |
40 |
$0.00 |
| 90698 |
|
51 |
51 |
$0.00 |