| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,761 |
16,505 |
$643K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,101 |
4,571 |
$273K |
| 17110 |
|
1,949 |
1,378 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
981 |
945 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
897 |
887 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
654 |
648 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,764 |
1,735 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
748 |
718 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,403 |
1,210 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
258 |
244 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
512 |
485 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
184 |
$9K |
| 99173 |
|
1,323 |
1,293 |
$9K |
| 92551 |
|
1,322 |
1,290 |
$7K |
| 96127 |
|
458 |
365 |
$6K |
| 99459 |
|
355 |
327 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
403 |
371 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
29 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
376 |
302 |
$3K |
| 36416 |
|
884 |
866 |
$3K |
| 99242 |
|
44 |
43 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
233 |
221 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
138 |
133 |
$2K |
| 96161 |
|
87 |
86 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
105 |
$1K |
| 99243 |
|
13 |
13 |
$1K |
| 11102 |
|
19 |
16 |
$743.47 |
| 90686 |
|
380 |
353 |
$478.24 |
| 11100 |
|
13 |
13 |
$382.32 |
| 17000 |
|
42 |
40 |
$313.18 |
| 96160 |
|
12 |
12 |
$194.40 |
| 85018 |
|
340 |
334 |
$18.27 |
| 90697 |
|
243 |
243 |
$0.00 |
| 90656 |
|
356 |
343 |
$0.00 |
| 3074F |
|
1,420 |
1,308 |
$0.00 |
| 90680 |
|
201 |
201 |
$0.00 |
| 3079F |
|
296 |
271 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 1160F |
|
1,672 |
1,540 |
$0.00 |
| 3078F |
|
1,083 |
1,004 |
$0.00 |
| 90633 |
|
72 |
70 |
$0.00 |
| 90671 |
|
376 |
376 |
$0.00 |
| 90670 |
|
80 |
79 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |