| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,664 |
16,204 |
$1.34M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,848 |
15,548 |
$1.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,208 |
31,723 |
$1.21M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,208 |
13,977 |
$1.15M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
83,537 |
28,909 |
$866K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,868 |
9,436 |
$500K |
| 99381 |
|
3,860 |
3,768 |
$314K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,097 |
3,025 |
$270K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,896 |
11,489 |
$128K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,296 |
7,988 |
$111K |
| 90461 |
|
15,548 |
12,489 |
$102K |
| 99383 |
|
1,022 |
1,001 |
$89K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,738 |
2,719 |
$74K |
| 99382 |
|
805 |
800 |
$72K |
| 99429 |
|
1,218 |
1,198 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,845 |
2,825 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,289 |
1,256 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
460 |
446 |
$26K |
| 87428 |
|
58 |
58 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$2K |
| 81002 |
|
812 |
775 |
$2K |
| 87807 |
|
194 |
193 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 94760 |
|
109 |
100 |
$109.76 |
| 90677 |
|
2,835 |
2,777 |
$10.68 |
| 90619 |
|
313 |
301 |
$0.91 |
| 90686 |
|
6,674 |
6,520 |
$0.02 |
| 90715 |
|
2,258 |
2,208 |
$0.01 |
| 90734 |
|
1,770 |
1,739 |
$0.01 |
| 90723 |
|
8,475 |
8,306 |
$0.00 |
| 90651 |
|
2,478 |
2,415 |
$0.00 |
| 90680 |
|
8,614 |
8,456 |
$0.00 |
| 90696 |
|
2,998 |
2,924 |
$0.00 |
| 90698 |
|
1,709 |
1,677 |
$0.00 |
| 90647 |
|
57 |
57 |
$0.00 |
| 90716 |
|
2,785 |
2,716 |
$0.00 |
| 90744 |
|
80 |
80 |
$0.00 |
| 90700 |
|
3,090 |
3,028 |
$0.00 |
| 90710 |
|
3,827 |
3,734 |
$0.00 |
| 90648 |
|
11,339 |
11,109 |
$0.00 |
| 90633 |
|
7,342 |
7,139 |
$0.00 |
| 90707 |
|
2,804 |
2,733 |
$0.00 |
| 90670 |
|
10,736 |
10,494 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |