| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,972 |
2,487 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,701 |
1,497 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
329 |
302 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
327 |
305 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,596 |
1,415 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
390 |
278 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
933 |
798 |
$15K |
| 92551 |
|
1,135 |
1,053 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
183 |
160 |
$10K |
| 81003 |
|
797 |
698 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
989 |
828 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
400 |
334 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
161 |
$6K |
| 99177 |
|
402 |
357 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
47 |
$2K |
| 96160 |
|
57 |
51 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
102 |
91 |
$1K |
| 99173 |
|
144 |
137 |
$1K |
| 90686 |
|
382 |
351 |
$1K |
| 96127 |
|
400 |
347 |
$682.52 |
| 90698 |
|
48 |
40 |
$450.46 |
| 90461 |
|
31 |
28 |
$435.00 |
| 90734 |
|
42 |
40 |
$371.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
79 |
$194.14 |
| 90688 |
|
30 |
26 |
$190.35 |
| 90715 |
|
12 |
12 |
$16.18 |
| 90670 |
|
97 |
71 |
$0.00 |