| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,697 |
8,416 |
$499K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,299 |
2,260 |
$252K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,701 |
1,375 |
$142K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,874 |
1,413 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,890 |
1,327 |
$129K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,406 |
3,260 |
$71K |
| D1206 |
Topical application of fluoride varnish |
1,869 |
1,262 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,313 |
583 |
$36K |
| 90686 |
|
3,430 |
2,808 |
$29K |
| 90620 |
|
955 |
692 |
$26K |
| 90651 |
|
995 |
727 |
$25K |
| 90670 |
|
1,469 |
981 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,741 |
1,520 |
$22K |
| 90734 |
|
965 |
691 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
906 |
678 |
$14K |
| 99173 |
|
1,896 |
1,551 |
$14K |
| 90716 |
|
739 |
476 |
$12K |
| 86580 |
|
2,620 |
1,963 |
$11K |
| 90707 |
|
717 |
459 |
$9K |
| 90698 |
|
963 |
651 |
$7K |
| 90685 |
|
715 |
499 |
$5K |
| 90680 |
|
691 |
491 |
$5K |
| 90700 |
|
543 |
359 |
$5K |
| 85018 |
|
2,021 |
1,584 |
$5K |
| 90633 |
|
586 |
393 |
$4K |
| 81002 |
|
1,607 |
1,260 |
$4K |
| 90744 |
|
381 |
281 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,571 |
1,937 |
$1K |
| 90713 |
|
82 |
56 |
$816.97 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
17 |
$533.70 |
| 90461 |
|
568 |
371 |
$495.96 |
| 90715 |
|
54 |
38 |
$408.94 |
| 90648 |
|
22 |
14 |
$134.40 |
| 97803 |
|
779 |
679 |
$97.55 |