| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,844 |
29,976 |
$1.50M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,705 |
14,134 |
$324K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,317 |
5,185 |
$270K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,458 |
3,378 |
$189K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,817 |
2,700 |
$131K |
| 90671 |
|
521 |
425 |
$83K |
| 90677 |
|
495 |
478 |
$75K |
| 90461 |
|
6,209 |
5,136 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,088 |
1,067 |
$63K |
| 92587 |
|
1,826 |
1,737 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
410 |
386 |
$35K |
| 90649 |
|
372 |
365 |
$18K |
| 99381 |
|
337 |
312 |
$17K |
| 90674 |
|
849 |
786 |
$14K |
| 90686 |
|
3,295 |
3,173 |
$12K |
| 99173 |
|
4,904 |
4,719 |
$12K |
| 90716 |
|
1,171 |
1,099 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
3,695 |
3,538 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
595 |
582 |
$6K |
| 90734 |
|
355 |
341 |
$6K |
| 90707 |
|
1,084 |
1,011 |
$5K |
| 36410 |
|
322 |
319 |
$4K |
| 90670 |
|
842 |
789 |
$4K |
| 90656 |
|
690 |
684 |
$4K |
| 90633 |
|
1,341 |
1,265 |
$3K |
| 90700 |
|
1,222 |
1,148 |
$3K |
| 90713 |
|
713 |
668 |
$3K |
| 99383 |
|
41 |
40 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
260 |
259 |
$2K |
| 90681 |
|
694 |
627 |
$2K |
| 96127 |
|
774 |
745 |
$2K |
| 99384 |
|
24 |
24 |
$1K |
| 36406 |
|
105 |
105 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$930.95 |
| 90744 |
|
806 |
733 |
$801.18 |
| 90715 |
|
178 |
171 |
$704.61 |
| 90648 |
|
788 |
736 |
$556.50 |
| 99401 |
|
222 |
222 |
$348.20 |
| 92558 |
|
78 |
78 |
$277.67 |
| 90620 |
|
12 |
12 |
$158.40 |
| 83655 |
|
277 |
263 |
$137.54 |
| 97802 |
|
76 |
76 |
$78.75 |
| 3008F |
|
213 |
212 |
$71.00 |
| 90696 |
|
359 |
338 |
$61.75 |
| 90655 |
|
12 |
12 |
$0.00 |
| 3210F |
|
369 |
362 |
$0.00 |
| 90647 |
|
184 |
177 |
$0.00 |
| 90698 |
|
551 |
503 |
$0.00 |
| 90723 |
|
50 |
47 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |