| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,789 |
14,250 |
$1.04M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,225 |
16,517 |
$615K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,652 |
5,470 |
$588K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,367 |
5,355 |
$540K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,297 |
5,278 |
$531K |
| 90461 |
|
19,001 |
6,317 |
$462K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,536 |
4,221 |
$452K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,492 |
3,472 |
$354K |
| 87428 |
|
337 |
333 |
$24K |
| 0071A |
|
338 |
338 |
$12K |
| 0072A |
|
303 |
302 |
$11K |
| 99177 |
|
282 |
277 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
468 |
463 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
224 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
434 |
399 |
$6K |
| 92552 |
|
102 |
102 |
$4K |
| 96127 |
|
469 |
464 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
212 |
107 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
195 |
194 |
$3K |
| 99384 |
|
13 |
13 |
$2K |
| 99381 |
|
13 |
13 |
$2K |
| 99383 |
|
12 |
12 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
61 |
40 |
$1K |
| 90734 |
|
569 |
568 |
$1K |
| 96160 |
|
179 |
179 |
$797.20 |
| 90480 |
|
33 |
33 |
$705.60 |
| 99173 |
|
76 |
72 |
$650.28 |
| 90656 |
|
443 |
443 |
$443.55 |
| 90686 |
|
3,789 |
3,779 |
$383.29 |
| 90660 |
|
13 |
13 |
$375.31 |
| 83655 |
|
24 |
24 |
$289.37 |
| 90677 |
|
263 |
263 |
$219.98 |
| 90633 |
|
1,039 |
1,036 |
$75.68 |
| 90707 |
|
67 |
67 |
$51.15 |
| 90715 |
|
221 |
221 |
$45.47 |
| 90696 |
|
138 |
138 |
$21.15 |
| 90670 |
|
2,304 |
2,295 |
$5.34 |
| 90651 |
|
1,175 |
1,171 |
$3.23 |
| 90698 |
|
1,106 |
1,102 |
$2.49 |
| 90680 |
|
827 |
822 |
$2.33 |
| 90672 |
|
588 |
588 |
$1.78 |
| 90744 |
|
250 |
249 |
$0.67 |
| 90710 |
|
276 |
276 |
$0.57 |
| 90697 |
|
275 |
274 |
$0.52 |
| 90619 |
|
287 |
286 |
$0.50 |
| 90671 |
|
104 |
103 |
$0.36 |
| 90648 |
|
88 |
88 |
$0.18 |
| 90723 |
|
88 |
88 |
$0.18 |
| 90716 |
|
30 |
30 |
$0.07 |
| 90649 |
|
29 |
29 |
$0.05 |
| 90620 |
|
68 |
67 |
$0.03 |
| 91321 |
|
15 |
15 |
$0.02 |
| 91320 |
|
13 |
13 |
$0.01 |
| 3078F |
|
52 |
52 |
$0.00 |
| 90681 |
|
53 |
53 |
$0.00 |
| 90655 |
|
72 |
72 |
$0.00 |
| 3074F |
|
53 |
53 |
$0.00 |