| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,140 |
5,443 |
$278K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,675 |
1,468 |
$94K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,790 |
1,540 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
824 |
723 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
827 |
750 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,238 |
1,015 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
430 |
372 |
$26K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
16 |
14 |
$21K |
| 59025 |
Fetal non-stress test |
772 |
368 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,142 |
947 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
127 |
$10K |
| 99460 |
|
181 |
169 |
$8K |
| 99462 |
|
168 |
158 |
$8K |
| 99217 |
|
82 |
69 |
$3K |
| 81002 |
|
1,462 |
1,186 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
269 |
229 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
24 |
$2K |
| 90670 |
|
944 |
831 |
$2K |
| 81025 |
|
272 |
231 |
$1K |
| 87807 |
|
132 |
117 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
60 |
$1K |
| 99173 |
|
191 |
165 |
$906.94 |
| 90723 |
|
773 |
699 |
$540.00 |
| 0500F |
|
232 |
204 |
$510.18 |
| 95115 |
|
35 |
12 |
$305.30 |
| 90647 |
|
736 |
669 |
$208.80 |
| 92551 |
|
14 |
12 |
$115.66 |
| 96127 |
|
25 |
17 |
$63.23 |
| 96160 |
|
21 |
13 |
$60.42 |
| 0503F |
|
823 |
589 |
$11.73 |
| 0502F |
|
4,427 |
2,367 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
12 |
$0.00 |
| 90658 |
|
22 |
19 |
$0.00 |
| 90707 |
|
68 |
63 |
$0.00 |
| 90633 |
|
57 |
49 |
$0.00 |
| 90680 |
|
679 |
610 |
$0.00 |
| 90716 |
|
68 |
63 |
$0.00 |
| 90686 |
|
160 |
146 |
$0.00 |
| 90657 |
|
26 |
21 |
$0.00 |