| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,717 |
10,639 |
$424K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,564 |
6,120 |
$331K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,919 |
3,776 |
$314K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,041 |
2,915 |
$266K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,457 |
3,299 |
$262K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,059 |
6,584 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,154 |
1,988 |
$150K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,958 |
5,568 |
$79K |
| 90461 |
|
4,837 |
3,871 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
642 |
617 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
466 |
456 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
944 |
910 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
614 |
444 |
$5K |
| 99381 |
|
44 |
41 |
$3K |
| 90619 |
|
440 |
433 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
24 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
23 |
$656.97 |
| 83655 |
|
53 |
32 |
$318.66 |
| 90670 |
|
1,595 |
1,575 |
$216.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$134.64 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$115.44 |
| 90680 |
|
1,033 |
1,010 |
$90.72 |
| 81002 |
|
29 |
27 |
$81.76 |
| 85018 |
|
53 |
32 |
$64.77 |
| 90698 |
|
1,396 |
1,350 |
$52.50 |
| 85014 |
|
37 |
20 |
$38.90 |
| 90686 |
|
2,259 |
2,221 |
$1.97 |
| 90677 |
|
328 |
319 |
$1.91 |
| 90734 |
|
493 |
485 |
$0.19 |
| 90651 |
|
205 |
200 |
$0.06 |
| 90744 |
|
709 |
701 |
$0.05 |
| 90620 |
|
398 |
391 |
$0.05 |
| 90672 |
|
153 |
146 |
$0.02 |
| 90633 |
|
946 |
941 |
$0.01 |
| 90715 |
|
393 |
387 |
$0.01 |
| 90710 |
|
814 |
805 |
$0.01 |
| 90696 |
|
240 |
240 |
$0.00 |
| 90648 |
|
135 |
133 |
$0.00 |
| 90700 |
|
232 |
230 |
$0.00 |