| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,169 |
1,886 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,945 |
1,749 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,023 |
932 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
907 |
853 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
628 |
604 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
290 |
281 |
$23K |
| 90670 |
|
897 |
837 |
$22K |
| 90688 |
|
1,242 |
1,150 |
$14K |
| 90698 |
|
849 |
787 |
$14K |
| 90680 |
|
496 |
457 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
558 |
276 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
528 |
504 |
$6K |
| 99381 |
|
79 |
67 |
$5K |
| 90685 |
|
322 |
291 |
$3K |
| 90633 |
|
267 |
254 |
$3K |
| 90651 |
|
83 |
76 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,983 |
2,760 |
$3K |
| 90744 |
|
236 |
218 |
$3K |
| 90461 |
|
1,301 |
1,224 |
$2K |
| 99000 |
|
606 |
574 |
$2K |
| 92552 |
|
44 |
41 |
$1K |
| 90734 |
|
46 |
43 |
$880.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
443 |
396 |
$776.53 |
| 94760 |
|
476 |
418 |
$619.01 |
| 90710 |
|
14 |
14 |
$536.82 |
| 90716 |
|
27 |
26 |
$397.57 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
38 |
$329.44 |
| 81002 |
|
121 |
113 |
$319.68 |
| 90696 |
|
14 |
14 |
$230.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
59 |
$101.60 |
| 99173 |
|
46 |
43 |
$71.87 |