| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,142 |
11,810 |
$615K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,541 |
7,206 |
$216K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,939 |
2,822 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,265 |
2,053 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,511 |
2,414 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,549 |
2,370 |
$132K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,259 |
8,276 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,286 |
2,162 |
$62K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,220 |
3,011 |
$48K |
| 87631 |
|
421 |
401 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
664 |
621 |
$41K |
| 90670 |
|
1,423 |
1,366 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,423 |
737 |
$19K |
| 99050 |
|
1,085 |
1,034 |
$18K |
| 90633 |
|
883 |
838 |
$16K |
| 90686 |
|
1,819 |
1,758 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
751 |
725 |
$11K |
| 99215 |
Prolong outpt/office vis |
116 |
111 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
594 |
543 |
$10K |
| 69210 |
|
353 |
303 |
$10K |
| 90688 |
|
1,229 |
1,219 |
$9K |
| 90698 |
|
774 |
730 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
199 |
196 |
$2K |
| 90716 |
|
818 |
778 |
$2K |
| 99188 |
|
71 |
70 |
$2K |
| 90656 |
|
369 |
366 |
$2K |
| 0001A |
|
18 |
18 |
$2K |
| 96127 |
|
223 |
220 |
$971.21 |
| 90685 |
|
403 |
400 |
$940.41 |
| 99442 |
|
38 |
38 |
$874.38 |
| 0002A |
|
16 |
16 |
$630.48 |
| 90744 |
|
514 |
469 |
$366.00 |
| 90681 |
|
368 |
364 |
$351.00 |
| 96380 |
|
14 |
14 |
$247.24 |
| 90671 |
|
311 |
286 |
$220.04 |
| 90707 |
|
805 |
772 |
$192.20 |
| 90697 |
|
297 |
286 |
$15.00 |
| 90734 |
|
118 |
115 |
$15.00 |
| 3008F |
|
15,775 |
14,108 |
$0.66 |
| 90696 |
|
247 |
240 |
$0.00 |
| 90619 |
|
70 |
69 |
$0.00 |
| 90677 |
|
85 |
85 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| 91300 |
|
41 |
38 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 99072 |
|
28 |
26 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |