| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,664 |
14,085 |
$826K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,267 |
5,712 |
$316K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,737 |
2,572 |
$166K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,686 |
2,528 |
$154K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,857 |
1,718 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,894 |
1,711 |
$95K |
| 90686 |
|
2,064 |
1,935 |
$26K |
| 90670 |
|
1,199 |
1,133 |
$12K |
| 96160 |
|
6,287 |
5,863 |
$10K |
| 90723 |
|
884 |
834 |
$9K |
| 96127 |
|
1,835 |
1,718 |
$9K |
| 90647 |
|
883 |
828 |
$9K |
| 90651 |
|
763 |
710 |
$8K |
| 90716 |
|
700 |
661 |
$7K |
| 90633 |
|
713 |
672 |
$6K |
| 90734 |
|
512 |
479 |
$6K |
| 90707 |
|
612 |
581 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
894 |
568 |
$5K |
| 90715 |
|
296 |
286 |
$4K |
| 90685 |
|
321 |
301 |
$3K |
| 99173 |
|
4,851 |
4,508 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
240 |
128 |
$2K |
| 92552 |
|
378 |
360 |
$2K |
| 90681 |
|
263 |
256 |
$1K |
| 90620 |
|
164 |
152 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
220 |
206 |
$992.35 |
| 90696 |
|
69 |
64 |
$882.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
807 |
764 |
$754.90 |
| 96103 |
|
981 |
885 |
$716.76 |
| 90700 |
|
63 |
56 |
$331.05 |
| 90677 |
|
15 |
13 |
$242.77 |
| 90461 |
|
2,935 |
1,725 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,743 |
6,351 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
27 |
$0.00 |
| 81000 |
|
24 |
24 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
42 |
$0.00 |