| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,552 |
6,672 |
$328K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,993 |
1,798 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,139 |
983 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
929 |
832 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
492 |
456 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,072 |
4,365 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,540 |
2,157 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
498 |
433 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
332 |
294 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$3K |
| 36416 |
|
709 |
639 |
$2K |
| 90474 |
|
150 |
125 |
$1K |
| 90670 |
|
672 |
570 |
$982.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
135 |
122 |
$718.09 |
| 90698 |
|
634 |
531 |
$662.59 |
| 80061 |
Lipid panel |
38 |
36 |
$595.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
12 |
$344.80 |
| 90686 |
|
1,055 |
915 |
$253.06 |
| 90473 |
|
26 |
25 |
$176.00 |
| 90688 |
|
656 |
627 |
$173.47 |
| 83655 |
|
12 |
12 |
$147.95 |
| 90687 |
|
393 |
354 |
$49.98 |
| 96127 |
|
50 |
44 |
$27.16 |
| 90633 |
|
57 |
55 |
$2.15 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
18 |
$0.00 |
| 90744 |
|
75 |
59 |
$0.00 |
| 90680 |
|
213 |
180 |
$0.00 |
| 90651 |
|
15 |
14 |
$0.00 |