| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,179 |
2,700 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,651 |
1,396 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
513 |
499 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
505 |
484 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,970 |
1,847 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
959 |
897 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
623 |
565 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
295 |
265 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,233 |
1,062 |
$18K |
| 92551 |
|
1,516 |
1,435 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
114 |
$10K |
| 99173 |
|
1,417 |
1,343 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
181 |
141 |
$4K |
| 99000 |
|
635 |
542 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
39 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
15 |
$1K |
| 90686 |
|
565 |
532 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
90 |
69 |
$546.61 |
| 99188 |
|
28 |
28 |
$504.71 |
| 90670 |
|
218 |
198 |
$425.78 |
| 81002 |
|
28 |
26 |
$372.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$352.12 |
| 94760 |
|
62 |
49 |
$287.55 |
| 90474 |
|
28 |
26 |
$234.66 |
| 93000 |
|
12 |
12 |
$134.93 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
25 |
$81.54 |
| 90677 |
|
29 |
26 |
$0.11 |
| 90698 |
|
98 |
92 |
$0.02 |
| 90633 |
|
13 |
13 |
$0.01 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90656 |
|
45 |
44 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90680 |
|
27 |
26 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |