| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,463 |
10,487 |
$595K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,895 |
4,593 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
756 |
738 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
600 |
593 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
631 |
609 |
$39K |
| 92587 |
|
2,123 |
2,001 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,757 |
1,661 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
379 |
349 |
$21K |
| 90461 |
|
1,026 |
984 |
$14K |
| 90686 |
|
859 |
819 |
$7K |
| 95930 |
|
230 |
225 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
163 |
$5K |
| 90619 |
|
24 |
24 |
$3K |
| 99173 |
|
1,888 |
1,761 |
$3K |
| 99050 |
|
353 |
320 |
$2K |
| 90656 |
|
124 |
123 |
$1K |
| 96127 |
|
435 |
409 |
$1K |
| 90670 |
|
91 |
83 |
$1K |
| 99188 |
|
54 |
52 |
$915.00 |
| 90716 |
|
14 |
14 |
$688.68 |
| 99401 |
|
294 |
272 |
$525.26 |
| 90651 |
|
12 |
12 |
$170.59 |
| 90633 |
|
27 |
26 |
$147.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
13 |
$118.58 |
| 90707 |
|
13 |
13 |
$92.49 |
| 90698 |
|
13 |
13 |
$71.43 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
52 |
48 |
$69.27 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
52 |
48 |
$29.76 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
23 |
18 |
$13.00 |
| 96161 |
|
15 |
12 |
$3.07 |
| 91308 |
|
13 |
13 |
$3.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| A6411 |
Eye pad, non-sterile, each |
51 |
47 |
$0.00 |