| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,858 |
7,248 |
$611K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,520 |
4,353 |
$181K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,642 |
1,609 |
$168K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,481 |
1,447 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,340 |
1,296 |
$130K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,189 |
1,169 |
$129K |
| 96127 |
|
2,551 |
2,499 |
$42K |
| 99173 |
|
3,146 |
3,082 |
$22K |
| 92551 |
|
3,174 |
3,107 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
169 |
$18K |
| 99174 |
|
816 |
792 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
823 |
811 |
$14K |
| 86403 |
|
482 |
451 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
284 |
136 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
41 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 90685 |
|
244 |
238 |
$0.01 |
| 90670 |
|
984 |
961 |
$0.00 |
| 90734 |
|
107 |
106 |
$0.00 |
| 90681 |
|
121 |
120 |
$0.00 |
| 90633 |
|
224 |
222 |
$0.00 |
| 90710 |
|
114 |
113 |
$0.00 |
| 90672 |
|
237 |
233 |
$0.00 |
| 90707 |
|
64 |
62 |
$0.00 |
| 90680 |
|
195 |
188 |
$0.00 |
| 90716 |
|
66 |
64 |
$0.00 |
| 90651 |
|
108 |
107 |
$0.00 |
| 90698 |
|
494 |
485 |
$0.00 |
| 90686 |
|
1,457 |
1,435 |
$0.00 |
| 90744 |
|
204 |
198 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |