| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,798 |
8,530 |
$491K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,590 |
3,316 |
$294K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,573 |
3,235 |
$258K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,342 |
2,134 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,158 |
1,970 |
$161K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,335 |
6,702 |
$112K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,776 |
4,345 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
966 |
873 |
$87K |
| 92552 |
|
2,793 |
2,492 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,976 |
1,735 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,768 |
1,776 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
615 |
542 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,286 |
3,042 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,124 |
3,691 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
741 |
672 |
$24K |
| 96127 |
|
4,997 |
4,518 |
$24K |
| 99381 |
|
232 |
208 |
$19K |
| 3008F |
|
4,613 |
4,138 |
$13K |
| 99173 |
|
2,196 |
1,971 |
$12K |
| 83655 |
|
772 |
711 |
$9K |
| 90474 |
|
703 |
642 |
$7K |
| 36416 |
|
4,123 |
3,643 |
$6K |
| 90716 |
|
705 |
640 |
$5K |
| 81003 |
|
2,420 |
2,135 |
$5K |
| 90707 |
|
738 |
667 |
$3K |
| 90670 |
|
2,707 |
2,501 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
88 |
81 |
$2K |
| 90651 |
|
217 |
193 |
$1K |
| 96161 |
|
102 |
68 |
$772.99 |
| 90696 |
|
133 |
118 |
$761.07 |
| 90686 |
|
1,740 |
1,607 |
$712.00 |
| 90633 |
|
754 |
700 |
$393.03 |
| 90734 |
|
86 |
79 |
$341.90 |
| 90723 |
|
1,764 |
1,627 |
$313.12 |
| 90648 |
|
2,570 |
2,380 |
$251.89 |
| 90680 |
|
172 |
147 |
$110.31 |
| 90461 |
|
473 |
415 |
$67.56 |
| 90715 |
|
26 |
26 |
$55.96 |
| 90700 |
|
168 |
158 |
$31.56 |
| 90744 |
|
39 |
38 |
$0.00 |
| 90698 |
|
37 |
37 |
$0.00 |
| 90681 |
|
441 |
418 |
$0.00 |
| 90685 |
|
441 |
432 |
$0.00 |