| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,334 |
10,397 |
$775K |
| 99199 |
Unlisted special service, procedure or report |
111,176 |
66,911 |
$637K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,482 |
5,573 |
$589K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,982 |
9,490 |
$404K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,692 |
2,408 |
$237K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,805 |
1,622 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,481 |
1,306 |
$134K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,630 |
6,653 |
$66K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,470 |
1,307 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,376 |
1,539 |
$44K |
| 99401 |
|
1,385 |
1,210 |
$39K |
| 97802 |
|
2,603 |
2,198 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
268 |
242 |
$27K |
| D1206 |
Topical application of fluoride varnish |
1,368 |
1,232 |
$20K |
| 96127 |
|
4,649 |
3,788 |
$18K |
| 99070 |
|
2,709 |
2,278 |
$17K |
| 96160 |
|
3,796 |
3,141 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
841 |
749 |
$11K |
| 92551 |
|
6,109 |
5,281 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
136 |
$6K |
| 99215 |
Prolong outpt/office vis |
45 |
40 |
$5K |
| 90686 |
|
3,637 |
3,029 |
$4K |
| 87081 |
|
433 |
378 |
$3K |
| 96161 |
|
824 |
709 |
$3K |
| 99173 |
|
6,996 |
6,072 |
$2K |
| 0071A |
|
38 |
27 |
$2K |
| 99050 |
|
74 |
69 |
$2K |
| 90651 |
|
53 |
50 |
$1K |
| 99441 |
|
41 |
38 |
$1K |
| 97803 |
|
66 |
53 |
$644.80 |
| 36415 |
Collection of venous blood by venipuncture |
268 |
199 |
$608.42 |
| 90473 |
|
30 |
26 |
$306.75 |
| 82465 |
|
31 |
27 |
$150.08 |
| 36416 |
|
539 |
432 |
$126.40 |
| 81002 |
|
29 |
27 |
$81.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$41.62 |
| 90633 |
|
126 |
118 |
$0.00 |
| 90670 |
|
1,119 |
980 |
$0.00 |
| 90685 |
|
160 |
140 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90680 |
|
431 |
362 |
$0.00 |
| 90698 |
|
522 |
436 |
$0.00 |
| 90744 |
|
62 |
49 |
$0.00 |
| 99000 |
|
910 |
739 |
$0.00 |
| 90656 |
|
186 |
186 |
$0.00 |
| 91307 |
|
37 |
26 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |