| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,370 |
7,299 |
$503K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,357 |
3,309 |
$373K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,071 |
2,180 |
$238K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,741 |
5,010 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,274 |
998 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
581 |
494 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
367 |
302 |
$31K |
| 90670 |
|
2,165 |
1,495 |
$28K |
| 90686 |
|
1,967 |
1,577 |
$22K |
| 90698 |
|
1,689 |
1,203 |
$19K |
| 90680 |
|
1,770 |
1,248 |
$19K |
| 90677 |
|
308 |
283 |
$16K |
| 90744 |
|
1,473 |
1,033 |
$16K |
| 90633 |
|
1,029 |
780 |
$13K |
| 99460 |
|
137 |
118 |
$6K |
| 90651 |
|
244 |
178 |
$5K |
| 90656 |
|
264 |
258 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
88 |
74 |
$3K |
| 90647 |
|
399 |
276 |
$3K |
| 90723 |
|
274 |
202 |
$2K |
| 90700 |
|
111 |
94 |
$1K |
| 90716 |
|
137 |
101 |
$1K |
| 90707 |
|
133 |
98 |
$1K |
| 90734 |
|
107 |
64 |
$1K |
| 90619 |
|
53 |
51 |
$907.13 |
| 90710 |
|
97 |
64 |
$753.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
34 |
$550.16 |
| 90696 |
|
76 |
44 |
$480.51 |
| 90715 |
|
45 |
45 |
$416.22 |
| 91319 |
|
13 |
13 |
$223.73 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,768 |
3,339 |
$16.71 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
156 |
142 |
$0.00 |
| 90461 |
|
3,074 |
2,060 |
$0.00 |