| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,587 |
18,356 |
$707K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,365 |
3,325 |
$247K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,955 |
2,669 |
$198K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,360 |
2,332 |
$191K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,137 |
2,116 |
$188K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,781 |
7,292 |
$170K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,356 |
4,235 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
752 |
742 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,973 |
1,458 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,996 |
2,959 |
$23K |
| 90461 |
|
4,216 |
3,632 |
$21K |
| 99000 |
|
188 |
183 |
$2K |
| 90651 |
|
531 |
527 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$1K |
| 99460 |
|
15 |
15 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
25 |
$1K |
| 87807 |
|
104 |
103 |
$1K |
| 90734 |
|
456 |
452 |
$656.96 |
| 90686 |
|
1,136 |
1,120 |
$449.83 |
| 90670 |
|
1,895 |
1,868 |
$250.08 |
| 90620 |
|
140 |
140 |
$216.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$71.71 |
| 81003 |
|
30 |
29 |
$46.41 |
| 90715 |
|
334 |
329 |
$43.16 |
| 90677 |
|
366 |
363 |
$1.19 |
| 90619 |
|
278 |
276 |
$0.19 |
| 90707 |
|
1,180 |
1,162 |
$0.04 |
| 90716 |
|
1,153 |
1,136 |
$0.03 |
| 90696 |
|
279 |
275 |
$0.02 |
| 90633 |
|
1,346 |
1,327 |
$0.02 |
| 90723 |
|
1,174 |
1,158 |
$0.01 |
| 90680 |
|
1,491 |
1,467 |
$0.00 |
| 90697 |
|
17 |
17 |
$0.00 |
| 90698 |
|
505 |
495 |
$0.00 |
| 90700 |
|
351 |
350 |
$0.00 |
| 90648 |
|
1,630 |
1,613 |
$0.00 |
| 90685 |
|
18 |
18 |
$0.00 |