| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,885 |
6,357 |
$311K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,145 |
1,114 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
947 |
946 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
866 |
863 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
763 |
730 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,139 |
3,039 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,550 |
1,512 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
750 |
735 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
329 |
321 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
414 |
365 |
$7K |
| 99188 |
|
393 |
390 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
419 |
410 |
$4K |
| 90619 |
|
35 |
34 |
$3K |
| 90620 |
|
28 |
28 |
$2K |
| 90658 |
|
343 |
342 |
$2K |
| 99173 |
|
1,310 |
1,302 |
$2K |
| 90461 |
|
149 |
124 |
$1K |
| 90686 |
|
681 |
621 |
$1K |
| 90734 |
|
54 |
54 |
$841.61 |
| 90670 |
|
190 |
169 |
$654.86 |
| 90651 |
|
33 |
32 |
$626.45 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
13 |
$254.05 |
| 99441 |
|
13 |
13 |
$91.10 |
| 90633 |
|
69 |
62 |
$71.48 |
| 90723 |
|
100 |
92 |
$60.58 |
| 90715 |
|
13 |
13 |
$50.48 |
| 90647 |
|
21 |
12 |
$28.87 |
| 83655 |
|
28 |
25 |
$14.54 |
| 81002 |
|
14 |
13 |
$9.86 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$6.56 |
| 85018 |
|
27 |
24 |
$5.58 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90648 |
|
46 |
41 |
$0.00 |
| 90710 |
|
15 |
14 |
$0.00 |