| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,071 |
5,090 |
$231K |
| 96160 |
|
3,147 |
2,768 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,198 |
1,468 |
$88K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,091 |
1,852 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
841 |
772 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
893 |
761 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
518 |
477 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
370 |
315 |
$23K |
| 96161 |
|
576 |
475 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
406 |
238 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
225 |
197 |
$6K |
| 96127 |
|
1,250 |
1,100 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
55 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
261 |
232 |
$3K |
| D1206 |
Topical application of fluoride varnish |
102 |
101 |
$2K |
| 92558 |
|
195 |
158 |
$1K |
| 87807 |
|
118 |
101 |
$1K |
| D0190 |
|
102 |
101 |
$1K |
| 92551 |
|
179 |
160 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 99177 |
|
122 |
98 |
$954.83 |
| 83655 |
|
55 |
53 |
$746.60 |
| 36416 |
|
300 |
251 |
$644.55 |
| 90670 |
|
277 |
246 |
$565.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
26 |
$473.69 |
| 90461 |
|
1,160 |
881 |
$448.41 |
| 99050 |
|
20 |
12 |
$266.40 |
| 90698 |
|
503 |
406 |
$265.96 |
| 85018 |
|
92 |
85 |
$264.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
24 |
$215.25 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
64 |
$209.75 |
| 90680 |
|
282 |
226 |
$111.16 |
| 90686 |
|
79 |
71 |
$59.37 |
| 81003 |
|
12 |
12 |
$29.92 |
| 90677 |
|
245 |
173 |
$0.45 |
| 90633 |
|
31 |
29 |
$0.00 |
| 90744 |
|
84 |
76 |
$0.00 |