| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,629 |
8,634 |
$501K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,099 |
1,970 |
$140K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,697 |
3,456 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
861 |
858 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
779 |
778 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,079 |
3,068 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
465 |
465 |
$34K |
| 92586 |
|
548 |
548 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
350 |
350 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
664 |
587 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,154 |
1,126 |
$11K |
| 90461 |
|
748 |
741 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
597 |
590 |
$8K |
| 90686 |
|
471 |
467 |
$6K |
| 90651 |
|
24 |
24 |
$4K |
| 99401 |
|
1,774 |
1,771 |
$3K |
| 92587 |
|
117 |
116 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
374 |
348 |
$2K |
| 99173 |
|
1,522 |
1,515 |
$2K |
| 90649 |
|
41 |
41 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
54 |
$2K |
| 92551 |
|
120 |
120 |
$1K |
| 99383 |
|
16 |
16 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
591 |
588 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
124 |
117 |
$1K |
| 96127 |
|
329 |
329 |
$727.13 |
| 86580 |
|
59 |
59 |
$233.81 |
| 92558 |
|
47 |
47 |
$132.74 |
| 3008F |
|
14 |
14 |
$37.00 |
| 91307 |
|
13 |
13 |
$2.00 |
| 3725F |
|
103 |
103 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
89 |
89 |
$0.00 |