| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,790 |
9,221 |
$606K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,579 |
3,525 |
$146K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,549 |
1,403 |
$136K |
| 90461 |
|
2,088 |
2,065 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
577 |
570 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,268 |
1,212 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
218 |
218 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
190 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
14 |
$1K |
| 87634 |
|
15 |
15 |
$900.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
125 |
120 |
$816.04 |
| 87428 |
|
12 |
12 |
$686.76 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
26 |
$674.81 |
| 99188 |
|
26 |
26 |
$356.50 |
| 87430 |
|
25 |
25 |
$320.81 |
| 90670 |
|
932 |
918 |
$186.72 |
| 90688 |
|
13 |
13 |
$179.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$152.90 |
| 90686 |
|
829 |
821 |
$16.93 |
| 90633 |
|
127 |
126 |
$2.29 |
| 90698 |
|
643 |
633 |
$0.95 |
| 90744 |
|
144 |
142 |
$0.95 |
| 90672 |
|
73 |
72 |
$0.01 |
| 90680 |
|
442 |
435 |
$0.01 |
| 90651 |
|
24 |
24 |
$0.01 |
| 90671 |
|
118 |
117 |
$0.00 |
| 90685 |
|
156 |
150 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90619 |
|
39 |
39 |
$0.00 |
| 90677 |
|
55 |
55 |
$0.00 |
| 90697 |
|
133 |
131 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90674 |
|
17 |
17 |
$0.00 |
| 90656 |
|
33 |
32 |
$0.00 |