| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90,515 |
59,317 |
$7.55M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,502 |
4,494 |
$356K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,531 |
3,522 |
$298K |
| 92587 |
|
10,743 |
10,717 |
$271K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,601 |
10,916 |
$252K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,839 |
1,824 |
$187K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,412 |
2,405 |
$186K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,465 |
1,465 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,799 |
1,552 |
$132K |
| 92567 |
|
11,209 |
11,163 |
$87K |
| 17110 |
|
672 |
656 |
$71K |
| 90461 |
|
2,665 |
2,647 |
$45K |
| 90677 |
|
316 |
316 |
$28K |
| 99173 |
|
10,133 |
10,110 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,121 |
1,103 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
65 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,069 |
2,054 |
$7K |
| 90473 |
|
756 |
755 |
$6K |
| 83655 |
|
584 |
583 |
$5K |
| 90686 |
|
4,204 |
4,193 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
378 |
$5K |
| 90651 |
|
839 |
837 |
$3K |
| 90620 |
|
282 |
282 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
94 |
93 |
$2K |
| 90474 |
|
305 |
305 |
$2K |
| 90715 |
|
317 |
317 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,148 |
4,110 |
$2K |
| 90670 |
|
922 |
920 |
$1K |
| 90672 |
|
540 |
540 |
$837.33 |
| 90716 |
|
920 |
916 |
$726.10 |
| 90685 |
|
550 |
549 |
$628.70 |
| 90707 |
|
803 |
799 |
$572.36 |
| 90734 |
|
718 |
718 |
$468.28 |
| 90656 |
|
464 |
463 |
$447.74 |
| 96127 |
|
52 |
52 |
$306.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$305.24 |
| 90648 |
|
1,003 |
1,003 |
$228.50 |
| 87590 |
|
16 |
16 |
$206.71 |
| 90633 |
|
579 |
579 |
$184.65 |
| 90660 |
|
40 |
40 |
$115.52 |
| 90723 |
|
180 |
180 |
$67.85 |
| 90688 |
|
27 |
27 |
$21.56 |
| 87490 |
|
16 |
16 |
$0.14 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,200 |
4,194 |
$0.01 |
| 90698 |
|
42 |
42 |
$0.00 |
| 3008F |
|
506 |
474 |
$0.00 |
| 90744 |
|
68 |
67 |
$0.00 |
| 90696 |
|
41 |
41 |
$0.00 |
| 3725F |
|
2,595 |
2,591 |
$0.00 |
| 90681 |
|
134 |
134 |
$0.00 |
| 90700 |
|
213 |
212 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 90713 |
|
36 |
36 |
$0.00 |