| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,513 |
17,923 |
$810K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,916 |
8,388 |
$289K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,225 |
4,100 |
$240K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,042 |
3,873 |
$206K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,981 |
2,912 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,549 |
2,388 |
$164K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,074 |
2,034 |
$129K |
| 97802 |
|
5,929 |
5,769 |
$90K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,288 |
6,885 |
$88K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,234 |
2,118 |
$33K |
| 99460 |
|
329 |
314 |
$25K |
| 36416 |
|
7,572 |
7,427 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,250 |
2,223 |
$18K |
| 85018 |
|
7,284 |
7,144 |
$15K |
| 81002 |
|
4,328 |
4,220 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
339 |
324 |
$11K |
| 99462 |
|
294 |
246 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
255 |
249 |
$5K |
| 99406 |
|
718 |
707 |
$4K |
| 96127 |
|
755 |
724 |
$3K |
| 90723 |
|
1,848 |
1,807 |
$2K |
| 0072A |
|
22 |
21 |
$2K |
| 90670 |
|
2,791 |
2,698 |
$2K |
| 0071A |
|
17 |
17 |
$2K |
| 90648 |
|
2,502 |
2,446 |
$1K |
| 90680 |
|
1,392 |
1,361 |
$1K |
| 99381 |
|
12 |
12 |
$794.31 |
| 90716 |
|
589 |
566 |
$716.50 |
| 90686 |
|
1,049 |
1,017 |
$560.20 |
| 90734 |
|
493 |
482 |
$557.90 |
| 90707 |
|
618 |
606 |
$544.75 |
| 90715 |
|
196 |
191 |
$156.90 |
| 90696 |
|
183 |
176 |
$111.30 |
| 90700 |
|
72 |
72 |
$38.05 |
| 90685 |
|
32 |
32 |
$31.50 |
| 90651 |
|
62 |
58 |
$15.75 |
| 90658 |
|
12 |
12 |
$10.00 |
| 90697 |
|
289 |
259 |
$3.00 |
| 90710 |
|
55 |
55 |
$1.00 |
| 91307 |
|
25 |
25 |
$0.24 |
| 99000 |
|
515 |
503 |
$0.00 |
| 90674 |
|
233 |
217 |
$0.00 |
| 90677 |
|
221 |
201 |
$0.00 |
| 99072 |
|
4,881 |
4,574 |
$0.00 |
| 90461 |
|
20 |
17 |
$0.00 |
| 90633 |
|
69 |
69 |
$0.00 |
| 90681 |
|
52 |
48 |
$0.00 |