| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,538 |
17,461 |
$952K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,418 |
3,798 |
$270K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,004 |
1,969 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,303 |
1,280 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,023 |
1,014 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,197 |
3,949 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,763 |
3,694 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,896 |
2,700 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,763 |
2,563 |
$26K |
| 92567 |
|
2,598 |
2,441 |
$19K |
| 3008F |
|
7,631 |
6,764 |
$18K |
| 90461 |
|
1,019 |
998 |
$15K |
| 94010 |
|
413 |
398 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
118 |
$10K |
| 92558 |
|
4,545 |
4,453 |
$9K |
| 90656 |
|
600 |
593 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
102 |
$7K |
| 90651 |
|
372 |
365 |
$7K |
| 93000 |
|
376 |
374 |
$6K |
| 83655 |
|
1,038 |
927 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
885 |
840 |
$6K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,907 |
4,755 |
$5K |
| 92587 |
|
191 |
191 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
403 |
390 |
$4K |
| 99173 |
|
2,849 |
2,758 |
$4K |
| 96127 |
|
2,159 |
1,824 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$3K |
| 90686 |
|
1,251 |
1,232 |
$3K |
| 90620 |
|
91 |
90 |
$2K |
| 90734 |
|
243 |
237 |
$1K |
| 92588 |
|
29 |
29 |
$1K |
| 90670 |
|
295 |
278 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$962.80 |
| 36415 |
Collection of venous blood by venipuncture |
149 |
149 |
$422.74 |
| 90674 |
|
19 |
19 |
$323.84 |
| 90680 |
|
18 |
13 |
$93.19 |
| 90633 |
|
195 |
186 |
$74.63 |
| 86580 |
|
13 |
13 |
$57.20 |
| 97802 |
|
64 |
64 |
$7.00 |
| 90696 |
|
45 |
44 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90677 |
|
52 |
50 |
$0.00 |
| 90698 |
|
17 |
16 |
$0.00 |
| 90715 |
|
34 |
34 |
$0.00 |
| 90473 |
|
18 |
13 |
$0.00 |
| 90710 |
|
31 |
31 |
$0.00 |