| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,976 |
6,249 |
$334K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,157 |
2,874 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,931 |
1,787 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,545 |
1,382 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,490 |
1,420 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
978 |
846 |
$62K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,249 |
1,160 |
$44K |
| 99177 |
|
4,767 |
4,328 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
357 |
292 |
$27K |
| 92567 |
|
1,659 |
1,266 |
$23K |
| 87428 |
|
365 |
331 |
$20K |
| 92551 |
|
2,552 |
2,258 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,465 |
1,284 |
$15K |
| 96127 |
|
2,745 |
2,433 |
$13K |
| 96160 |
|
1,026 |
733 |
$10K |
| 3008F |
|
3,597 |
3,210 |
$8K |
| 99381 |
|
122 |
101 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
265 |
$7K |
| 81002 |
|
2,770 |
2,414 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
281 |
225 |
$3K |
| 90670 |
|
1,375 |
1,281 |
$3K |
| 99383 |
|
16 |
14 |
$1K |
| 90698 |
|
979 |
906 |
$1K |
| 94664 |
|
73 |
63 |
$919.37 |
| 90461 |
|
2,243 |
2,072 |
$765.64 |
| 99173 |
|
148 |
125 |
$722.95 |
| 90716 |
|
419 |
385 |
$600.00 |
| 95115 |
|
53 |
24 |
$586.97 |
| 96161 |
|
49 |
37 |
$526.31 |
| 90707 |
|
417 |
387 |
$360.00 |
| 90681 |
|
390 |
363 |
$280.00 |
| 90651 |
|
94 |
75 |
$200.00 |
| 90633 |
|
566 |
526 |
$172.89 |
| 90744 |
|
349 |
325 |
$90.00 |
| 90723 |
|
177 |
166 |
$89.00 |
| 90688 |
|
451 |
404 |
$76.96 |
| 90647 |
|
181 |
169 |
$34.80 |
| 90696 |
|
27 |
25 |
$0.00 |
| 90686 |
|
16 |
14 |
$0.00 |
| 90685 |
|
25 |
23 |
$0.00 |
| 90687 |
|
50 |
43 |
$0.00 |
| 90715 |
|
17 |
15 |
$0.00 |