| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,673 |
10,348 |
$650K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,136 |
1,830 |
$180K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,749 |
1,465 |
$134K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,732 |
6,092 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,254 |
1,097 |
$97K |
| 92551 |
|
5,038 |
4,262 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
790 |
684 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,599 |
2,366 |
$40K |
| 99173 |
|
4,978 |
4,252 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,077 |
1,978 |
$26K |
| 90686 |
|
2,587 |
2,361 |
$24K |
| 85013 |
|
6,593 |
5,742 |
$22K |
| 81002 |
|
7,510 |
6,344 |
$19K |
| 0001A |
|
278 |
278 |
$12K |
| 0002A |
|
255 |
255 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
409 |
387 |
$10K |
| 90651 |
|
663 |
586 |
$7K |
| 0071A |
|
135 |
135 |
$6K |
| 0072A |
|
131 |
131 |
$5K |
| 90670 |
|
533 |
468 |
$5K |
| 90619 |
|
303 |
284 |
$4K |
| 90620 |
|
376 |
359 |
$4K |
| 0004A |
|
87 |
86 |
$4K |
| 90734 |
|
329 |
295 |
$3K |
| 94760 |
|
1,044 |
892 |
$3K |
| 82948 |
|
1,302 |
1,095 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
28 |
$2K |
| 90677 |
|
118 |
105 |
$2K |
| 90633 |
|
148 |
131 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
113 |
96 |
$2K |
| 90674 |
|
75 |
72 |
$1K |
| 90698 |
|
143 |
131 |
$1K |
| 90715 |
|
101 |
95 |
$1K |
| 36416 |
|
252 |
224 |
$1K |
| 90656 |
|
42 |
33 |
$700.74 |
| 90661 |
|
39 |
35 |
$651.69 |
| 90672 |
|
100 |
96 |
$640.00 |
| 0073A |
|
15 |
15 |
$600.00 |
| 0053A |
|
15 |
13 |
$600.00 |
| 0124A |
|
15 |
15 |
$600.00 |
| 90744 |
|
60 |
54 |
$513.36 |
| 0012A |
|
12 |
12 |
$505.68 |
| 86580 |
|
87 |
50 |
$348.00 |
| 90710 |
|
24 |
24 |
$277.32 |
| 86308 |
|
56 |
48 |
$259.20 |
| 90688 |
|
36 |
34 |
$217.60 |
| 91307 |
|
71 |
61 |
$42.14 |
| 97802 |
|
84 |
83 |
$21.25 |
| 1036F |
|
273 |
240 |
$0.00 |
| 3210F |
|
537 |
514 |
$0.00 |
| 1003F |
|
803 |
732 |
$0.00 |
| 91300 |
|
106 |
100 |
$0.00 |