| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,335 |
5,735 |
$256K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,831 |
2,645 |
$185K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,494 |
5,836 |
$170K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,455 |
2,344 |
$159K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,016 |
1,921 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,601 |
1,519 |
$116K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,863 |
4,623 |
$100K |
| 59426 |
|
195 |
182 |
$96K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,941 |
4,737 |
$56K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,032 |
2,911 |
$43K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
450 |
390 |
$37K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
576 |
502 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
223 |
204 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
4,993 |
4,628 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
109 |
$8K |
| 92552 |
|
518 |
484 |
$7K |
| 81003 |
|
2,553 |
2,368 |
$5K |
| 99173 |
|
905 |
851 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
246 |
231 |
$3K |
| 59430 |
|
15 |
15 |
$1K |
| 76801 |
|
16 |
16 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
13 |
$577.38 |
| 83655 |
|
68 |
64 |
$550.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$197.50 |
| 90715 |
|
60 |
58 |
$195.00 |
| 85018 |
|
105 |
97 |
$169.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$160.25 |
| 90658 |
|
389 |
382 |
$60.00 |
| 90716 |
|
266 |
251 |
$15.00 |
| 90648 |
|
328 |
305 |
$10.00 |
| 90651 |
|
193 |
188 |
$0.00 |
| 90698 |
|
159 |
147 |
$0.00 |
| 90744 |
|
24 |
18 |
$0.00 |
| 90723 |
|
141 |
130 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |
| 90670 |
|
1,155 |
1,086 |
$0.00 |
| 90707 |
|
271 |
256 |
$0.00 |
| 90734 |
|
92 |
91 |
$0.00 |
| 90681 |
|
230 |
221 |
$0.00 |
| 90633 |
|
295 |
272 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |