| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,140 |
12,133 |
$689K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,012 |
4,601 |
$188K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,509 |
5,253 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,342 |
1,335 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,269 |
1,262 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
796 |
790 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,856 |
2,761 |
$33K |
| 92551 |
|
3,024 |
2,993 |
$31K |
| 90461 |
|
1,314 |
1,270 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
4,212 |
4,075 |
$15K |
| 90674 |
|
409 |
409 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
138 |
138 |
$7K |
| 90686 |
|
1,337 |
1,302 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
860 |
852 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
452 |
449 |
$6K |
| 99173 |
|
1,957 |
1,902 |
$2K |
| 90651 |
|
12 |
12 |
$700.26 |
| 90716 |
|
43 |
40 |
$426.93 |
| 36406 |
|
24 |
24 |
$334.45 |
| 90670 |
|
12 |
12 |
$226.43 |
| 83655 |
|
242 |
158 |
$216.00 |
| 99442 |
|
13 |
13 |
$154.86 |
| 90707 |
|
26 |
25 |
$100.00 |
| 81025 |
|
19 |
18 |
$64.39 |
| 99441 |
|
12 |
12 |
$61.66 |
| 90633 |
|
15 |
15 |
$36.92 |