| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,579 |
28,743 |
$1.36M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,994 |
10,817 |
$231K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,085 |
4,033 |
$221K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,251 |
3,232 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,631 |
3,584 |
$173K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,818 |
5,737 |
$109K |
| 92552 |
|
8,969 |
8,874 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,990 |
1,953 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,080 |
2,033 |
$63K |
| 90671 |
|
342 |
323 |
$59K |
| 90461 |
|
3,085 |
3,027 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,838 |
2,814 |
$39K |
| 90651 |
|
491 |
489 |
$24K |
| 90619 |
|
189 |
187 |
$21K |
| 99173 |
|
6,201 |
6,099 |
$20K |
| 90686 |
|
3,263 |
3,233 |
$17K |
| 90620 |
|
386 |
381 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,174 |
1,164 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
153 |
153 |
$8K |
| 96127 |
|
2,608 |
2,582 |
$8K |
| 90670 |
|
363 |
356 |
$7K |
| 3008F |
|
9,027 |
8,874 |
$6K |
| 90734 |
|
219 |
218 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
41 |
$3K |
| 90633 |
|
378 |
372 |
$2K |
| 90716 |
|
25 |
24 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90656 |
|
292 |
292 |
$780.43 |
| 90744 |
|
127 |
110 |
$687.14 |
| 90680 |
|
257 |
241 |
$641.65 |
| 90648 |
|
325 |
317 |
$448.97 |
| 90723 |
|
54 |
54 |
$357.69 |
| 90715 |
|
55 |
55 |
$326.08 |
| 99441 |
|
59 |
58 |
$317.07 |
| 90685 |
|
46 |
46 |
$311.04 |
| 99408 |
|
69 |
69 |
$153.42 |
| 81003 |
|
395 |
390 |
$129.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
25 |
$108.30 |
| 99000 |
|
3,937 |
3,799 |
$92.38 |
| 81001 |
|
46 |
46 |
$84.56 |
| 99070 |
|
259 |
252 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 99072 |
|
167 |
162 |
$0.00 |