| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,184 |
8,279 |
$593K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,077 |
4,605 |
$482K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,586 |
5,148 |
$352K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,321 |
4,933 |
$333K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,812 |
3,532 |
$241K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,633 |
3,403 |
$233K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,509 |
15,262 |
$144K |
| 90648 |
|
3,753 |
3,509 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,236 |
1,112 |
$63K |
| 90670 |
|
3,005 |
2,798 |
$55K |
| 81002 |
|
11,895 |
11,018 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
204 |
190 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,599 |
1,257 |
$27K |
| 90680 |
|
1,424 |
1,345 |
$26K |
| 90686 |
|
1,444 |
1,351 |
$26K |
| 90723 |
|
1,344 |
1,258 |
$24K |
| 90700 |
|
1,355 |
1,217 |
$23K |
| 90651 |
|
1,230 |
1,107 |
$21K |
| 90633 |
|
1,155 |
1,051 |
$20K |
| 87430 |
|
1,187 |
1,118 |
$15K |
| 90713 |
|
772 |
694 |
$13K |
| 90716 |
|
592 |
528 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
869 |
810 |
$10K |
| 90707 |
|
572 |
517 |
$10K |
| 90677 |
|
506 |
469 |
$9K |
| 90734 |
|
525 |
477 |
$9K |
| 90461 |
|
214 |
214 |
$9K |
| 90619 |
|
270 |
259 |
$5K |
| 90681 |
|
279 |
257 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
280 |
248 |
$5K |
| 0071A |
|
91 |
90 |
$3K |
| 90715 |
|
178 |
165 |
$3K |
| 0072A |
|
81 |
79 |
$3K |
| 90710 |
|
113 |
110 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
54 |
$2K |
| 99173 |
|
399 |
366 |
$2K |
| 90672 |
|
89 |
85 |
$2K |
| 90688 |
|
89 |
83 |
$1K |
| 90696 |
|
60 |
58 |
$1K |
| 99381 |
|
15 |
14 |
$980.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
14 |
$980.00 |
| 90744 |
|
59 |
50 |
$949.92 |
| 90685 |
|
29 |
27 |
$514.54 |
| 92558 |
|
27 |
26 |
$390.00 |
| 90660 |
|
17 |
17 |
$336.43 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$135.00 |
| 36416 |
|
1,870 |
1,850 |
$0.00 |