| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,477 |
4,297 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,325 |
2,256 |
$137K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,007 |
2,967 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,096 |
3,062 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,135 |
2,114 |
$94K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,389 |
7,254 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,049 |
2,026 |
$74K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,838 |
3,793 |
$60K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,465 |
3,409 |
$54K |
| 96127 |
|
5,514 |
5,455 |
$9K |
| 90734 |
|
435 |
423 |
$8K |
| 90686 |
|
2,453 |
2,435 |
$8K |
| 90651 |
|
202 |
198 |
$6K |
| 90670 |
|
1,074 |
1,062 |
$5K |
| 90474 |
|
463 |
461 |
$4K |
| 0002A |
|
224 |
197 |
$3K |
| 90619 |
|
96 |
95 |
$3K |
| 99383 |
|
66 |
66 |
$3K |
| 0001A |
|
212 |
204 |
$3K |
| 96160 |
|
3,155 |
3,120 |
$3K |
| 90715 |
|
276 |
269 |
$2K |
| 90723 |
|
903 |
892 |
$1K |
| 90633 |
|
443 |
434 |
$623.29 |
| 99381 |
|
15 |
14 |
$616.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
98 |
$596.04 |
| 99384 |
|
16 |
16 |
$487.81 |
| 90648 |
|
1,114 |
1,098 |
$462.90 |
| 96161 |
|
198 |
198 |
$336.19 |
| 90707 |
|
76 |
73 |
$280.18 |
| 90681 |
|
192 |
190 |
$260.88 |
| 36416 |
|
54 |
54 |
$258.91 |
| 90685 |
|
45 |
45 |
$165.81 |
| 90680 |
|
135 |
135 |
$165.78 |
| 90700 |
|
96 |
88 |
$129.76 |
| 90696 |
|
45 |
45 |
$61.83 |
| 90716 |
|
12 |
12 |
$0.00 |
| 91300 |
|
666 |
544 |
$0.00 |
| 90710 |
|
42 |
42 |
$0.00 |
| 83655 |
|
14 |
14 |
$0.00 |