| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,754 |
6,126 |
$248K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,101 |
2,036 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,895 |
1,775 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,194 |
1,179 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,076 |
997 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,723 |
4,558 |
$57K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,354 |
2,254 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
619 |
607 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
936 |
916 |
$40K |
| 90686 |
|
2,443 |
2,398 |
$10K |
| 96127 |
|
693 |
679 |
$8K |
| 90651 |
|
257 |
248 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
239 |
189 |
$5K |
| 90734 |
|
184 |
178 |
$4K |
| 99188 |
|
383 |
362 |
$4K |
| 90474 |
|
447 |
441 |
$3K |
| 90710 |
|
61 |
61 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
134 |
130 |
$2K |
| 90670 |
|
1,521 |
1,475 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
82 |
$2K |
| 90473 |
|
91 |
91 |
$2K |
| 0001A |
|
33 |
30 |
$1K |
| 0002A |
|
27 |
27 |
$1K |
| 90696 |
|
62 |
62 |
$1K |
| 99381 |
|
12 |
12 |
$716.84 |
| 90633 |
|
305 |
297 |
$557.16 |
| 90715 |
|
54 |
53 |
$553.12 |
| 90647 |
|
801 |
769 |
$513.68 |
| 90672 |
|
96 |
96 |
$281.76 |
| 90685 |
|
27 |
26 |
$42.40 |
| 85018 |
|
24 |
24 |
$36.81 |
| 90723 |
|
895 |
871 |
$0.70 |
| 90680 |
|
661 |
637 |
$0.64 |
| 91300 |
|
81 |
68 |
$0.00 |
| 99177 |
|
177 |
177 |
$0.00 |
| 90461 |
|
30 |
29 |
$0.00 |