| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,089 |
18,433 |
$706K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,677 |
8,972 |
$312K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,508 |
4,156 |
$297K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,797 |
3,656 |
$246K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,235 |
3,148 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,444 |
2,269 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,144 |
2,123 |
$140K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,962 |
5,869 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,121 |
1,116 |
$72K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,967 |
1,920 |
$50K |
| 92551 |
|
3,374 |
3,330 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,405 |
1,010 |
$24K |
| 99188 |
|
1,541 |
1,421 |
$23K |
| 97802 |
|
1,220 |
1,217 |
$17K |
| 99173 |
|
2,795 |
2,758 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,230 |
1,198 |
$7K |
| 90473 |
|
137 |
136 |
$3K |
| 96127 |
|
934 |
907 |
$2K |
| 87807 |
|
79 |
73 |
$953.92 |
| 99384 |
|
12 |
12 |
$700.00 |
| 90474 |
|
42 |
42 |
$600.00 |
| 31720 |
|
13 |
13 |
$259.03 |
| 90651 |
|
466 |
464 |
$141.39 |
| 90686 |
|
3,216 |
3,196 |
$76.14 |
| 90461 |
|
2,702 |
2,624 |
$57.60 |
| 81002 |
|
12 |
12 |
$36.30 |
| 99072 |
|
103 |
102 |
$21.60 |
| 90723 |
|
2,028 |
1,991 |
$0.10 |
| 90633 |
|
988 |
948 |
$0.08 |
| 90648 |
|
2,499 |
2,470 |
$0.05 |
| 90681 |
|
798 |
781 |
$0.01 |
| 90734 |
|
250 |
249 |
$0.01 |
| 90670 |
|
3,043 |
2,953 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 90710 |
|
67 |
64 |
$0.00 |
| 90672 |
|
200 |
199 |
$0.00 |
| 90715 |
|
69 |
69 |
$0.00 |
| 90707 |
|
53 |
53 |
$0.00 |
| 99174 |
|
1,288 |
1,253 |
$0.00 |
| 90647 |
|
253 |
238 |
$0.00 |
| 99000 |
|
1,558 |
1,518 |
$0.00 |
| 90696 |
|
55 |
52 |
$0.00 |
| 90716 |
|
54 |
54 |
$0.00 |