| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,062 |
7,271 |
$95K |
| 92551 |
|
4,404 |
4,337 |
$33K |
| 99173 |
|
3,513 |
3,452 |
$24K |
| 90651 |
|
930 |
904 |
$22K |
| 90734 |
|
1,182 |
1,171 |
$20K |
| 90670 |
|
1,282 |
1,212 |
$17K |
| 90686 |
|
1,314 |
1,197 |
$13K |
| 90633 |
|
899 |
831 |
$9K |
| 90715 |
|
691 |
666 |
$8K |
| 90716 |
|
342 |
328 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
509 |
488 |
$8K |
| 90707 |
|
296 |
286 |
$6K |
| 90723 |
|
445 |
428 |
$5K |
| 96127 |
|
338 |
327 |
$5K |
| 90671 |
|
287 |
262 |
$5K |
| 90619 |
|
265 |
218 |
$4K |
| 90647 |
|
511 |
488 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
253 |
253 |
$4K |
| 90710 |
|
285 |
273 |
$4K |
| 90620 |
|
175 |
172 |
$3K |
| 90697 |
|
177 |
126 |
$3K |
| 90700 |
|
216 |
199 |
$2K |
| 90685 |
|
349 |
326 |
$2K |
| 83655 |
|
124 |
78 |
$1K |
| 90696 |
|
172 |
171 |
$1K |
| 90713 |
|
34 |
30 |
$656.20 |
| 36416 |
|
126 |
99 |
$516.27 |
| 90661 |
|
30 |
30 |
$477.90 |
| 90698 |
|
64 |
64 |
$409.60 |
| 90681 |
|
41 |
41 |
$396.43 |
| 90744 |
|
43 |
43 |
$379.92 |
| 86580 |
|
56 |
49 |
$260.15 |
| 85018 |
|
111 |
84 |
$255.20 |
| G0008 |
Administration of influenza virus vaccine |
50 |
25 |
$179.20 |
| 81025 |
|
12 |
12 |
$30.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
433 |
377 |
$0.00 |