| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,510 |
2,217 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
638 |
585 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
444 |
438 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
347 |
342 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
283 |
279 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
425 |
406 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
856 |
787 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
98 |
$8K |
| 99188 |
|
330 |
326 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
787 |
775 |
$7K |
| 90670 |
|
273 |
271 |
$5K |
| 90686 |
|
321 |
320 |
$4K |
| 90651 |
|
104 |
102 |
$3K |
| 90698 |
|
170 |
169 |
$3K |
| 90680 |
|
147 |
146 |
$2K |
| 90716 |
|
127 |
127 |
$2K |
| 92552 |
|
86 |
83 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,263 |
1,244 |
$2K |
| 90633 |
|
188 |
184 |
$2K |
| 90707 |
|
130 |
128 |
$2K |
| 90734 |
|
61 |
61 |
$1K |
| 90461 |
|
604 |
598 |
$1K |
| 90700 |
|
82 |
81 |
$961.85 |
| 90685 |
|
83 |
83 |
$942.64 |
| 90744 |
|
76 |
74 |
$836.29 |
| 81002 |
|
204 |
186 |
$609.41 |
| 99173 |
|
229 |
224 |
$574.98 |
| 85018 |
|
201 |
198 |
$572.98 |
| 90715 |
|
38 |
38 |
$478.12 |
| 90710 |
|
14 |
14 |
$156.20 |
| 90713 |
|
12 |
12 |
$153.23 |
| 36416 |
|
154 |
151 |
$124.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$49.77 |
| 99000 |
|
471 |
443 |
$11.58 |
| J3490 |
Unclassified drugs |
32 |
30 |
$0.09 |