| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,366 |
8,475 |
$608K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,957 |
1,720 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
967 |
913 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,982 |
1,897 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
790 |
788 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,696 |
1,689 |
$42K |
| 90461 |
|
1,312 |
1,306 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
143 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
291 |
283 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
491 |
491 |
$3K |
| 87428 |
|
33 |
33 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
79 |
$1K |
| 90670 |
|
595 |
591 |
$739.11 |
| 90686 |
|
189 |
189 |
$706.46 |
| 86710 |
|
47 |
45 |
$619.56 |
| 90715 |
|
12 |
12 |
$202.50 |
| 87807 |
|
12 |
12 |
$159.84 |
| 36416 |
|
53 |
50 |
$152.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$131.78 |
| 85018 |
|
39 |
37 |
$79.46 |
| 81002 |
|
12 |
12 |
$34.43 |
| 90698 |
|
331 |
327 |
$1.86 |
| 90680 |
|
245 |
243 |
$0.46 |
| 90744 |
|
43 |
42 |
$0.41 |
| 90633 |
|
41 |
41 |
$0.15 |
| 90671 |
|
124 |
123 |
$0.00 |
| 90685 |
|
48 |
48 |
$0.00 |
| 90710 |
|
28 |
28 |
$0.00 |
| 90677 |
|
88 |
88 |
$0.00 |
| 90697 |
|
41 |
41 |
$0.00 |
| 90688 |
|
82 |
82 |
$0.00 |