| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,875 |
5,336 |
$276K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,988 |
2,758 |
$220K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,689 |
1,588 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,783 |
1,530 |
$122K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
744 |
700 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
436 |
410 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,106 |
984 |
$19K |
| 90670 |
|
655 |
603 |
$6K |
| 96127 |
|
396 |
348 |
$6K |
| 90686 |
|
702 |
643 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
149 |
$2K |
| 90651 |
|
158 |
131 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
70 |
$2K |
| 90698 |
|
260 |
233 |
$2K |
| 90633 |
|
254 |
219 |
$2K |
| 90647 |
|
229 |
217 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90723 |
|
157 |
143 |
$999.68 |
| 83655 |
|
78 |
71 |
$932.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
34 |
$855.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
66 |
58 |
$814.60 |
| 90744 |
|
108 |
92 |
$685.12 |
| 90734 |
|
101 |
78 |
$635.52 |
| 87807 |
|
56 |
54 |
$562.97 |
| 90681 |
|
73 |
67 |
$463.04 |
| 85018 |
|
126 |
110 |
$294.88 |
| 90715 |
|
39 |
38 |
$251.52 |
| 90710 |
|
40 |
32 |
$234.36 |
| 90680 |
|
28 |
28 |
$179.20 |
| 36416 |
|
29 |
29 |
$118.90 |
| 90696 |
|
19 |
16 |
$103.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
45 |
$0.00 |