| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,404 |
22,658 |
$1.12M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,848 |
23,812 |
$463K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,901 |
8,900 |
$440K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,376 |
8,369 |
$426K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,510 |
7,104 |
$360K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,573 |
5,571 |
$292K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,454 |
1,446 |
$103K |
| 99401 |
|
7,109 |
7,095 |
$47K |
| 87428 |
|
476 |
471 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,780 |
1,758 |
$15K |
| 81000 |
|
6,274 |
6,245 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,556 |
2,556 |
$11K |
| 96127 |
|
4,220 |
4,218 |
$10K |
| 83655 |
|
355 |
355 |
$3K |
| 81003 |
|
1,970 |
1,965 |
$3K |
| 99441 |
|
322 |
313 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
28 |
$932.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
30 |
$838.09 |
| 90686 |
|
4,949 |
4,947 |
$719.13 |
| 96151 |
|
141 |
140 |
$576.73 |
| 85018 |
|
373 |
373 |
$432.45 |
| 90677 |
|
596 |
596 |
$375.26 |
| 90651 |
|
419 |
418 |
$265.00 |
| 90715 |
|
140 |
140 |
$137.22 |
| 90656 |
|
334 |
334 |
$130.20 |
| 99499 |
|
17 |
17 |
$0.84 |
| 99080 |
|
13,404 |
13,387 |
$0.00 |
| 90648 |
|
3,884 |
3,881 |
$0.00 |
| 90734 |
|
808 |
808 |
$0.00 |
| 90670 |
|
3,319 |
3,315 |
$0.00 |
| 90633 |
|
668 |
668 |
$0.00 |
| 90707 |
|
498 |
497 |
$0.00 |
| 90685 |
|
69 |
69 |
$0.00 |
| 90700 |
|
565 |
565 |
$0.00 |
| 90713 |
|
82 |
82 |
$0.00 |
| 90716 |
|
504 |
503 |
$0.00 |
| 90680 |
|
1,572 |
1,569 |
$0.00 |
| 90723 |
|
2,075 |
2,072 |
$0.00 |